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

Individual provider Clinical Social Worker · NPI 1407809536

Mary Nackley Deangelo, LCSW is a Clinical Social Worker in Utica, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

1427 Genesee St
Utica, NY 13501-4343
Phone: (315) 738-1428
Fax: (315) 738-1461
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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 069220 (NY)

Record details

NPI number1407809536
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJune 27, 2008

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