Mary Alice Scully
Clinical Social Worker
465 Broadway
Kingston
, New York 12401-4627
Mary Alice Scully
Clinical Social Worker
465 Broadway
Kingston
, New York 12401-4627
(518) 398-5261
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mary Alice Scully
- 63 Ridge Dr
- West Hurley, NY
- Zip : 12491-5625
- Phone : (518) 398-5261
Second Address
- Mary Alice Scully
- 465 Broadway
- Kingston, NY
- Zip : 12401-4627
- Phone : (845) 340-0244
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | R030611-1 | NY |
National Provider Identifier
| NPI | 1003120924 |
|---|---|
| Provider Name | Mary Alice Scully |
| First Address | West Hurley, NY 12491-5625 |
| Second Address | Kingston, NY 12401-4627 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2010 |
| Last Update Date | 04/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.