Healthcare Provider Details

I. General information

NPI: 1871677922
Provider Name (Legal Business Name): WILLIAM TARRANT LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S BROADWAY
YONKERS NY
10701-3713
US

IV. Provider business mailing address

304 WALNUT ST
PEEKSKILL NY
10566-4715
US

V. Phone/Fax

Practice location:
  • Phone: 914-632-2737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number073801-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: