Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Anderson LCSW PC

Organization Clinical Social Worker · NPI 1508505645

Mary Anderson LCSW PC is a Clinical Social Worker in Bayport, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Baywood Ln
Bayport, NY 11705-1727
Phone: (631) 941-9494
Fax: (631) 730-7796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1508505645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Anderson — Owner · (631) 941-9494
NPI enumeratedMay 27, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing address9 Baywood Ln, Bayport, NY 11705-1727

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