Provider Demographics
NPI:1083636534
Name:HONESS, PAUL A (LCSW, ACSW)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:A
Last Name:HONESS
Suffix:
Gender:M
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 JAMES ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-2825
Mailing Address - Country:US
Mailing Address - Phone:315-437-8780
Mailing Address - Fax:
Practice Address - Street 1:2507 JAMES ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-2825
Practice Address - Country:US
Practice Address - Phone:315-437-8780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0409871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY54911BMedicare ID - Type Unspecified