Provider Demographics
NPI:1659404432
Name:MESSNER, CAROLYN C (DSW, MSW)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:C
Last Name:MESSNER
Suffix:
Gender:F
Credentials:DSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W 66TH ST
Mailing Address - Street 2:APT. 31B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-6214
Mailing Address - Country:US
Mailing Address - Phone:212-362-1639
Mailing Address - Fax:
Practice Address - Street 1:60 W 66TH ST
Practice Address - Street 2:APT. 31B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-6214
Practice Address - Country:US
Practice Address - Phone:212-362-1639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPRO18311-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical