Provider Demographics
NPI:1700096443
Name:MCGARRY, MICHAEL (LCSW-R, LP)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:MCGARRY
Suffix:
Gender:M
Credentials:LCSW-R, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 E 11TH ST
Mailing Address - Street 2:SUITE 431
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6811
Mailing Address - Country:US
Mailing Address - Phone:646-303-5135
Mailing Address - Fax:646-688-2869
Practice Address - Street 1:80 E 11TH ST
Practice Address - Street 2:SUITE 431
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6811
Practice Address - Country:US
Practice Address - Phone:646-303-5135
Practice Address - Fax:646-688-2869
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000877102L00000X
NY0769751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst