Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Ann Van der Jagt, LCSW-R

Individual provider Clinical Social Worker · NPI 1528108651

MS. Mary Ann Van der Jagt, LCSW-R is a Clinical Social Worker in Warwick, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

28 Railroad Ave
Warwick, NY 10990-1639
Phone: (845) 986-3766
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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 R-074382-1 (NY)

Record details

NPI number1528108651
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJune 10, 2008

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