| Doctor Name: | MS. MARYANN V MCINERNEY |
| NPI Number: | 1568533354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | RO19618-1 |
| Business Practice Address: | 15 Bellport Ln Suite 15d Bellport, NY - 117132751 |
| Business Phone Number: | 6312864779 |
| Business Fax Number: | 6312866323 |
| Mailing Address: | 15 Bellport Ln, Suite 15d BELLPORT |
| State: | NY |
| Postal Code: | 117132751 |
| Phone Number: | 6312864779 |
| Fax Number: | 6312866323 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 10/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | RO19618-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |