Provider Demographics
NPI:1508958554
Name:GIORDANO, WILLIAM (LCSW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:GIORDANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MONTGOMERY STREET
Mailing Address - Street 2:HENRY STREET SETTLEMENT COMMUNITY CONSULTATION CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002
Mailing Address - Country:US
Mailing Address - Phone:212-233-5032
Mailing Address - Fax:212-571-4132
Practice Address - Street 1:40 MONTGOMERY STREET
Practice Address - Street 2:HENRY STREET SETTLEMENT COMMUNITY CONSULTATION CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-233-5032
Practice Address - Fax:212-571-4132
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071380-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN5I401Medicare PIN