Individual provider · NPI-1

Mary Katherine Geraghty, LCSW

Social Worker, Clinical · Islandia, NY

NPI number1205648052
StatusActive
Last updated in NPPESJan 20, 2025

Details

NPI
1205648052
Entity type
Individual (NPI-1)
Name
Mary Katherine Geraghty
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Jan 20, 2025
Certification date
Jan 20, 2025
Last updated
Jan 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical099267NYYes

Practice location

1777 Veterans Memorial Hwy
Islandia, NY 11749-1555

Phone 631-630-6439

Mailing address

1777 Veterans Memorial Hwy
Islandia, NY 11749-1555

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