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

Mary Connolly LMSW PC

Organization Early Intervention Provider Agency · NPI 1336402338

Mary Connolly LMSW PC is an Early Intervention Provider Agency in Staten Island, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
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

92 Evergreen St
Staten Island, NY 10308-1812
Phone: (718) 344-4981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 075265 (NY)

Record details

NPI number1336402338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Connolly — Social Worker · (718) 344-4981
NPI enumeratedJune 25, 2012
Last updated in NPPESJune 25, 2012
Mailing address92 Evergreen St, Staten Island, NY 10308-1812

Other providers in Staten Island