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

Mary Ellen Kundrat, LCSW

Individual provider Clinical Social Worker · NPI 1568005916

Mary Ellen Kundrat, LCSW is a Clinical Social Worker in Middle Village, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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

7406 Metropolitan Ave
Middle Village, NY 11379-2650
Phone: (917) 650-0739
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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 087607 (NY)

Record details

NPI number1568005916
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

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