Doctor Name: | WILLIAM R. UNWIN |
NPI Number: | 1780839829 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 039457 |
Business Practice Address: | 102 Race Track Rd Ticonderoga, NY - 128834004 |
Business Phone Number: | 5185856708 |
Business Fax Number: | 5185853260 |
Mailing Address: | Po Box 357, GLENS FALLS |
State: | NY |
Postal Code: | 128010357 |
Phone Number: | 5187610300 |
Fax Number: | 5187451378 |
NPI Enumeration Date: | 11/17/2008 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 039457 |
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 |