Provider Demographics
NPI:1689943441
Name:PERKINS, MARY BETH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:BETH
Last Name:PERKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 WOODS BROOKE TER
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-2027
Mailing Address - Country:US
Mailing Address - Phone:914-310-5737
Mailing Address - Fax:
Practice Address - Street 1:81 WOODS BROOKE TER
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-2027
Practice Address - Country:US
Practice Address - Phone:914-310-5737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0752031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical