Healthcare Provider Details

I. General information

NPI: 1992194666
Provider Name (Legal Business Name): WILLIAM KUO LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2015
Last Update Date: 11/27/2023
Certification Date: 02/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E 16TH ST FL 6
NEW YORK NY
10003-3112
US

IV. Provider business mailing address

2 MANHATTAN AVE APT 7
NEW YORK NY
10025-4727
US

V. Phone/Fax

Practice location:
  • Phone: 206-427-1254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number086582
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: