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

Individual provider Clinical Social Worker · NPI 1609868439

Mary Agnes Mantilla, LCSW is a Clinical Social Worker in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3 Neptune Rd Ste A18F
Poughkeepsie, NY 12601-5500
Phone: (845) 549-8223
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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 · Licence 068980-1 (NY)

Record details

NPI number1609868439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 18, 2005
Last updated in NPPESMarch 30, 2017

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