Provider Demographics
NPI:1225256100
Name:WURMAN, VICTORIA M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:M
Last Name:WURMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 BLEECKER ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2979
Mailing Address - Country:US
Mailing Address - Phone:212-929-8927
Mailing Address - Fax:
Practice Address - Street 1:337 BLEECKER ST
Practice Address - Street 2:APT. 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2979
Practice Address - Country:US
Practice Address - Phone:212-929-8927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0174791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical