Provider Demographics
NPI:1801973946
Name:FUHR, NANCY L (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:FUHR
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:L
Other - Last Name:FUHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSW
Mailing Address - Street 1:35 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:TRUMANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14886-9172
Mailing Address - Country:US
Mailing Address - Phone:607-592-3900
Mailing Address - Fax:
Practice Address - Street 1:119 W BUFFALO ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4131
Practice Address - Country:US
Practice Address - Phone:607-592-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR048699-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical