Provider Demographics
NPI:1891706560
Name:HUNTER, EILEEN WURZ (LCSW BCD MSW)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:WURZ
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LCSW BCD MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 TRAFALGAR ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619
Mailing Address - Country:US
Mailing Address - Phone:585-436-9938
Mailing Address - Fax:
Practice Address - Street 1:130 ALLENS CREEK RD
Practice Address - Street 2:STE 100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3305
Practice Address - Country:US
Practice Address - Phone:585-271-6880
Practice Address - Fax:585-271-1129
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO1387711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY100344FKOtherPREFERRED CARE
4507815OtherAETNA
NYBB3873Medicare ID - Type Unspecified