National Provider Identifier

Matthew Daniel Wolcott

Matthew Daniel Wolcott is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Bath, NY and a listed phone number of (607) 937-6201.

NPI 1255500146Bath, NYClinical Social Worker

Profile Overview

NPI
1255500146
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
February 25, 2008
Last Updated
February 25, 2008

Practice Location

  • 115 Liberty St
  • Bath, NY 14810-1508

Phone: (607) 937-6201

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1255500146
Entity Type
Individual
Last Name
Wolcott
First Name
Matthew
Middle Name
Daniel
Name Prefix
Mr.
Mailing Street Address
115 Liberty St
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-1508
Mailing Country
US
Practice Street Address
115 Liberty St
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1508
Practice Country
US
Practice Phone
(607) 937-6201
Enumeration Date
February 25, 2008
Last Updated
February 25, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)