National Provider Identifier

Ingrid M. Wander, LCSW-R

Ingrid M. Wander, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Williamson, NY and a listed phone number of (315) 589-9621.

NPI 1861625204Williamson, NYClinical Social Worker

Profile Overview

NPI
1861625204
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 02, 2009
Last Updated
October 03, 2011

Practice Location

  • 5891 Route 21
  • Williamson, NY 14589-9102

Phone: (315) 589-9621

Mailing Address

  • 5891 Route 21
  • P.O. Box 900
  • Williamson, NY 14589-9102

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1861625204
Entity Type
Individual
Last Name
Wander
First Name
Ingrid
Middle Name
M.
Name Prefix
MS.
Credential
LCSW-R
Mailing Street Address
5891 Route 21
Mailing Address Line 2
P.O. Box 900
Mailing City
Williamson
Mailing State
NY
Mailing ZIP Code
14589-9102
Mailing Country
US
Mailing Phone
(315) 589-9621
Practice Street Address
5891 Route 21
Practice City
Williamson
Practice State
NY
Practice ZIP Code
14589-9102
Practice Country
US
Practice Phone
(315) 589-9621
Enumeration Date
September 02, 2009
Last Updated
October 03, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)