Provider Demographics
NPI:1669436523
Name:OPFELL, CONSTANCE L (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:L
Last Name:OPFELL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CIRCLE LN
Mailing Address - Street 2:APT. 24A
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-2217
Mailing Address - Country:US
Mailing Address - Phone:518-729-5475
Mailing Address - Fax:
Practice Address - Street 1:7 CIRCLE LN
Practice Address - Street 2:APT. 24A
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-2217
Practice Address - Country:US
Practice Address - Phone:518-729-5475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-16
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0712501041C0700X
PACW0166151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical