Provider Demographics
NPI:1194964858
Name:MCHUGH, DOROTHY ANN (LCSW)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:ANN
Last Name:MCHUGH
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 1:214 WALL ST.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:516-353-6516
Mailing Address - Fax:
Practice Address - Street 1:214 WALL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7804
Practice Address - Country:US
Practice Address - Phone:516-353-6516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076261-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical