National Provider Identifier

Paul Vincent Soper, LCSW-R

Paul Vincent Soper, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 255-5155.

NPI 1679071377Ithaca, NYClinical Social Worker

Profile Overview

NPI
1679071377
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 28, 2018
Last Updated
January 28, 2018

Practice Location

  • 110 Ho Plaza
  • Cornell University
  • Ithaca, NY 14853

Phone: (607) 255-5155

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1679071377
Entity Type
Individual
Last Name
Soper
First Name
Paul
Middle Name
Vincent
Name Prefix
Mr.
Credential
LCSW-R
Mailing Street Address
110 Ho Plaza
Mailing Address Line 2
Cornell University
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853
Mailing Country
US
Practice Street Address
110 Ho Plaza
Practice Address Line 2
Cornell University
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14853
Practice Country
US
Practice Phone
(607) 255-5155
Enumeration Date
January 28, 2018
Last Updated
January 28, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)