MEDICARE: MR. KENNETH WALD CSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R029271-1	NY

General Provider Information

NPI Number	:	1548397037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENNETH WALD CSW

Provider Business Mailing Address
First Line	:	248 W 71ST ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-3752
Country	:	US
Telephone Number	:	212-579-7701
Fax Number	:	212-579-7702

Provider Business Practice Location Address
First Line	:	248 W 71ST ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-3752
Country	:	US
Telephone Number	:	212-579-7701
Fax Number	:	212-579-7702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1306991385 — LINDA ANNE LINDAY MD
Practice Location Address:

340 W 55TH ST , SUITE 9A
NEW YORK, NY
10019-3752

Practice Phone: 212-582-2153
Practice Fax:

1669509055 — DR. GABRIELLE LESLIE SHAPIRO M.D.
Practice Location Address:

343 E 74TH ST , APTPH4C
NEW YORK, NY
10021-3752

Practice Phone: 212-628-0729
Practice Fax: 212-628-0753

1861740037 — MS. MARY-SUTTON GONZALEZ
Practice Location Address:

20 COMMERCE ST , APARTMENT 2D
NEW YORK, NY
10014-3752

Practice Phone: 813-447-9074
Practice Fax:

1386393908 — KIM STETZ
Practice Location Address:

438 E 13TH ST APT A3
NEW YORK, NY
10009-3752

Practice Phone: 917-545-0938
Practice Fax:

1447106810 — VALERIE LIGHTFOOT
Practice Location Address:

449 E SAINT PETER ST
NEW IBERIA, LA
70560-3752

Practice Phone: 337-321-9204
Practice Fax:

1073609186 — JOHN K RAWE LPC, LCAS-A
Practice Location Address:

449 E SAINT PETER ST
NEW IBERIA, LA
70560-3752

Practice Phone: 337-321-9204
Practice Fax:

Directions to “ MR. KENNETH WALD CSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.