Provider Demographics
NPI:1164413357
Name:SINGER, LEONARD (LICENSED CLINICAL SW)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:
Last Name:SINGER
Suffix:
Gender:M
Credentials:LICENSED CLINICAL SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 DIETZ ST
Mailing Address - Street 2:STE K
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1865
Mailing Address - Country:US
Mailing Address - Phone:607-432-9039
Mailing Address - Fax:607-432-7029
Practice Address - Street 1:50 DIETZ ST
Practice Address - Street 2:STE K
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1865
Practice Address - Country:US
Practice Address - Phone:607-432-9039
Practice Address - Fax:607-432-7029
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0105711104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker