Provider Demographics
NPI:1619250420
Name:GUNTHER, STEVEN (LMSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:GUNTHER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 WESTMORELAND ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1732
Mailing Address - Country:US
Mailing Address - Phone:718-631-3970
Mailing Address - Fax:
Practice Address - Street 1:2316 SURF AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2113
Practice Address - Country:US
Practice Address - Phone:718-946-1919
Practice Address - Fax:718-946-1509
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024580104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker