Provider Demographics
NPI:1003854233
Name:TERENZI, WILLIAM JOHN (LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JOHN
Last Name:TERENZI
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3313
Mailing Address - Country:US
Mailing Address - Phone:516-998-5433
Mailing Address - Fax:
Practice Address - Street 1:100 W PARK AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3302
Practice Address - Country:US
Practice Address - Phone:516-998-5433
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR294261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical