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

Mary Lerouge, LCSWPLLC

Individual provider Mental Health Counselor · NPI 1700254349

Mary Lerouge, LCSWPLLC is a Clinical Social Worker in Middletown, New York. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

720 Route 17M Ste 101A
Middletown, NY 10940-4346
Phone: (945) 391-3812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 089374 (NY)

Record details

NPI number1700254349
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWPLLC
Sole proprietorNo
NPI enumeratedSeptember 14, 2015
Last updated in NPPESOctober 14, 2021
Certification dateOctober 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown