Provider Demographics
NPI:1801288204
Name:ENDERS, JOHN HARRINGTON II (MSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HARRINGTON
Last Name:ENDERS
Suffix:II
Gender:M
Credentials:MSW
Other - Prefix:
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Mailing Address - Street 1:7186 DUGWAY RD
Mailing Address - Street 2:7186 DUGWAY RD
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-4602
Mailing Address - Country:US
Mailing Address - Phone:315-853-7772
Mailing Address - Fax:315-853-8691
Practice Address - Street 1:507 KENT ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-2317
Practice Address - Country:US
Practice Address - Phone:315-797-2233
Practice Address - Fax:315-797-2244
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY091836104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker