Provider Demographics
NPI:1912923202
Name:WARTEL, STEPHEN GEORGE (MSW)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:GEORGE
Last Name:WARTEL
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DANDELION DR
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-3202
Mailing Address - Country:US
Mailing Address - Phone:518-583-3830
Mailing Address - Fax:518-580-8838
Practice Address - Street 1:11 DANDELION DR
Practice Address - Street 2:
Practice Address - City:GANSEVOORT
Practice Address - State:NY
Practice Address - Zip Code:12831-3202
Practice Address - Country:US
Practice Address - Phone:518-583-3830
Practice Address - Fax:518-580-8838
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR0187711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical