MR. MARK WILLIAM HENNESSEY LCSW-R
NPI 1427366772
Social Worker - Clinical in Brewster, NY

NPI Status: Active since September 21, 2010

Contact Information

400 DOANSBURG RD
BREWSTER, NY
ZIP 10509
Phone: (845) 279-2995
Fax: (845) 279-2077

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  • Individual
  • Male
  • Social Worker
  • Clinical
  • PECOS Enrolled
  • Opted-Out Medicare

About MARK HENNESSEY

This page provides the complete NPI Profile along with additional information for Mark Hennessey, a provider established in Brewster, New York with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1427366772 assigned on September 2010. The practitioner's primary taxonomy code is 1041C0700X with license number 070709-1 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1427366772
Provider Name
MR. MARK WILLIAM HENNESSEY LCSW-R
Gender
Male
Entity Type
Individual
Location Address
400 DOANSBURG RD BREWSTER, NY 10509
Location Phone
(845) 279-2995
Location Fax
(845) 279-2077
Mailing Address
400 DOANSBURG RD BREWSTER, NY 10509
Mailing Phone
(845) 279-2995
Mailing Fax
(845) 279-2077
Is Sole Proprietor?
No
Enumeration Date
09-21-2010
Last Update Date
09-21-2010
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A clinical social worker like Mark Hennessey is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mark Hennessey opted out of Medicare effective on 04-04-2019 until 04-04-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
070709-1
License State
NY
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Medicare Participation & PECOS Enrollment Status

Mark Hennessey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-04-2019

  • Opt-Out End Date: 04-04-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10509 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $61.88
  • Maximum New Patient Price $187.05
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $15.47
  • Maximum New Patient Copayment $46.76

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $76.88
  • Minimum Established Patient Price $19.92
  • Maximum Established Patient Price $151.94
  • Average Established Patient Copayment $19.22
  • Minimum Established Patient Copayment $4.98
  • Maximum Established Patient Copayment $37.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MR. MARK WILLIAM HENNESSEY LCSW-R

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427366772
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24476612714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 6 + 1 + 2 + 7 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1427366772 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649300658 AGNES JUHASZ MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1720291446DR. JAY DAVIDOWITZ PH.D.
Individual
Psychologist (Clinical)400 DOANSBURG RD BOX 719
BREWSTER, NY 10509
(845) 279-2995
1790974327GREEN CHIMNEYS CHILDRENS SERVICES
Organization
Residential Treatment Facility, Intellectual and/or Developmental Disabilities400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1265672158GREEN CHIMNEYS CHILDRENS SERVICES
Organization
Foster Care Agency400 DOANSBURG RD CALLER BOX 719
BREWSTER, NY 10509
(845) 279-2995
1841590437MS. ESTHER MARIE KNUDSON MS OTR/L
Individual
Occupational Therapist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-3077
1386922169 LISA MARY SERLIN O.T.R.
Individual
Occupational Therapist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1568743888MS. ALEXANDRA MINDY MARISE BIALKE MA, OTR/L
Individual
Occupational Therapist400 DOANSBURG RD BOX 719, GREEN CHIMNEYS
BREWSTER, NY 10509
(845) 279-2995
1174806392MS. DENISE LUFT LMHC
Individual
Counselor (Mental Health)400 DOANSBURG RD CALL BOX 719
BREWSTER, NY 10509
(845) 279-2995
1376813741 JESSICA ANNE KOTZKER
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1104196997MRS. KRISTIN BOYLE LICARDI LCSW
Individual
Social Worker (Clinical)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1902177009MISS KATHERINE M KENNY LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1184996753MRS. GRACE EVA BEACH LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1205187986 AMANDA GUARRACINA CCC-SLP
Individual
Speech-Language Pathologist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1184921439MS. PATRICIA KARELL M.S.
Individual
Counselor (School)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1326392044 ARIELLE EMILY TUNIS LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1114344199 ELIZA LOVE LMSW
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1790983310MRS. BETH CAMANN LICSW
Individual
Counselor (Mental Health)400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1861673485GREEN CHIMNEYS CHRILDRENS SERVICES
Organization
Residential Treatment Facility, Emotionally Disturbed Children400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1790189363 SHAUNA MCWILLIAMS
Individual
Social Worker400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995
1316342900MS. KIRSTEN MARIANNE MCGEE OTR/L
Individual
Occupational Therapist400 DOANSBURG RD
BREWSTER, NY 10509
(845) 279-2995

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427366772, enumerated in the NPI registry as an "individual" on September 21, 2010

The provider is located at 400 Doansburg Rd Brewster, Ny 10509 and the phone number is (845) 279-2995

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $76.88 and an average copayment of 19.22. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on April 04, 2019 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 04, 2027.

This NPI record was last updated on September 21, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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