Provider Demographics
NPI:1780180430
Name:DEWATER, STEVEN A (LMSW)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:A
Last Name:DEWATER
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 1:108 BILTMORE DR APT D
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-1892
Mailing Address - Country:US
Mailing Address - Phone:607-215-1917
Mailing Address - Fax:
Practice Address - Street 1:963 WALNUT ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901-1831
Practice Address - Country:US
Practice Address - Phone:607-734-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102286104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker