Provider Demographics
NPI:1316205925
Name:THURN, DAVID H (LCSW-R)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:H
Last Name:THURN
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WASHINGTON SQ W
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9181
Mailing Address - Country:US
Mailing Address - Phone:732-841-9187
Mailing Address - Fax:
Practice Address - Street 1:37 WASHINGTON SQ W
Practice Address - Street 2:SUITE 1-C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9181
Practice Address - Country:US
Practice Address - Phone:732-841-9187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0790431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical