Healthcare Provider Details

I. General information

NPI: 1407766058
Provider Name (Legal Business Name): MELANIE KATRINA KUHL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 ROBINSON ST
BINGHAMTON NY
13904-1775
US

IV. Provider business mailing address

425 ROBINSON ST
BINGHAMTON NY
13904-1775
US

V. Phone/Fax

Practice location:
  • Phone: 607-797-0680
  • Fax:
Mailing address:
  • Phone: 607-797-0680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103987
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: