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

Mary Alice Scully, LCSW-R

Individual provider Clinical Social Worker · NPI 1003120924

Mary Alice Scully, LCSW-R is a Clinical Social Worker in Kingston, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

465 Broadway
Kingston, NY 12401-4627
Phone: (845) 340-0244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R030611-1 (NY)

Record details

NPI number1003120924
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedAugust 3, 2010
Last updated in NPPESMarch 4, 2017

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