Provider Demographics
NPI:1083762132
Name:UNGER, MADELEINE (CSW)
Entity Type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:UNGER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E 79TH ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0720
Mailing Address - Country:US
Mailing Address - Phone:212-772-3179
Mailing Address - Fax:212-737-3837
Practice Address - Street 1:333 W 57TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3159
Practice Address - Country:US
Practice Address - Phone:212-772-3179
Practice Address - Fax:212-737-3837
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0236921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical