Provider Demographics
NPI:1013225689
Name:CARTER, WILLIAM L (MSW; LCSW; CAS-SDA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:L
Last Name:CARTER
Suffix:
Gender:M
Credentials:MSW; LCSW; CAS-SDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 SALMON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-9521
Mailing Address - Country:US
Mailing Address - Phone:585-392-1000
Mailing Address - Fax:585-392-1051
Practice Address - Street 1:400 EAST AVE
Practice Address - Street 2:HILTON HIGH SCHOOL,
Practice Address - City:HILTON
Practice Address - State:NY
Practice Address - Zip Code:14468-1254
Practice Address - Country:US
Practice Address - Phone:585-392-1000
Practice Address - Fax:585-392-1052
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP R 0205671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical