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

Individual provider Clinical Social Worker · NPI 1407368004

Mary Vandezande, LCSW 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
2017
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

77 Cornell St
Kingston, NY 12401-3648
Phone: (719) 290-8022
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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 (NY)

Record details

NPI number1407368004
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 4, 2017
Last updated in NPPESNovember 4, 2017

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