MEDICARE: WILLIAM H KUNTZ M.S., LCSW, LIC. PSY

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	SW002855	MO
2	103TC0700X	Clinical Psychologist	PY01685	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336122704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM H KUNTZ M.S., LCSW, LIC. PSY

Provider Business Mailing Address
First Line	:	141 E MADISON AVE APT 407
Second Line	:
City	:	KIRKWOOD
State	:	MO
Zip	:	63122-4331
Country	:	US
Telephone Number	:	314-712-1754
Fax Number	:	314-828-5163

Provider Business Practice Location Address
First Line	:	745 CRAIG RD STE 102C
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-7122
Country	:	US
Telephone Number	:	314-712-1754
Fax Number	:	314-828-5163

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

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	04/29/2025

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