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

MS. Mary Anderson, LCSWR

Individual provider Clinical Social Worker · NPI 1245329796

MS. Mary Anderson, LCSWR is a Clinical Social Worker in Bayport, New York. Qualified in 1994, 32 years ago. Accepts Medicare assignment.

Years since qualifying
32
In the registry since
2006
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Practice location Address checks out

9 Baywood Ln
Bayport, NY 11705-1727
Phone: (631) 941-9494
Fax: (631) 941-9494
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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 R0505421

Record details

NPI number1245329796
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bayport