National Provider Identifier

Paul J Wingard Jr., LCSW-R

Paul J Wingard Jr., LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 331-1228.

NPI 1225186356Elmira, NYClinical Social Worker

Profile Overview

NPI
1225186356
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 08, 2007
Last Updated
January 17, 2010

Practice Location

  • 147 W Gray St
  • Suite 214
  • Elmira, NY 14901-3017

Phone: (607) 331-1228

Mailing Address

  • 514 W 3Rd St
  • Elmira, NY 14901-2435

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1225186356
Entity Type
Individual
Last Name
Wingard
First Name
Paul
Middle Name
J
Name Suffix
Jr.
Credential
LCSW-R
Mailing Street Address
514 W 3Rd St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2435
Mailing Country
US
Mailing Phone
(607) 331-1228
Mailing Fax
(607) 737-6884
Practice Street Address
147 W Gray St
Practice Address Line 2
Suite 214
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3017
Practice Country
US
Practice Phone
(607) 331-1228
Practice Fax
(607) 737-6884
Enumeration Date
January 08, 2007
Last Updated
January 17, 2010
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
02763922 (NY)