Provider Demographics
NPI:1124004254
Name:HARRINGTON, MARY THERESE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:THERESE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:1 BRIDGE ST
Mailing Address - Street 2:SUITE 22
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1543
Mailing Address - Country:US
Mailing Address - Phone:914-589-3293
Mailing Address - Fax:914-667-1494
Practice Address - Street 1:1 BRIDGE ST
Practice Address - Street 2:SUITE 22
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1543
Practice Address - Country:US
Practice Address - Phone:914-589-3293
Practice Address - Fax:914-667-1494
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYR0559671041C0700X, 106H00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02753280Medicaid
NY789463OtherAETNA
NYP3663895OtherOXFORD
NY02753280Medicaid