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NPI Code Detail

MEDICARE: MR. CORIN JAMES WENGER MSW, LCSW

MEDICARE:  MR. CORIN JAMES WENGER  MSW, LCSW
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
11041C0700XClinical Social Worker101127NY

General Provider Information

NPI Number : 1568805976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CORIN JAMES WENGER MSW, LCSW
Provider Business Mailing Address
First Line : 10 MCKOWN RD STE 102
Second Line :
City : ALBANY
State : NY
Zip : 12203-3473
Country : US
Telephone Number : 518-689-0244
Fax Number : 518-689-0241
Provider Business Practice Location Address
First Line : 10 MCKOWN RD STE 102
Second Line :
City : ALBANY
State : NY
Zip : 12203-3473
Country : US
Telephone Number : 518-689-0244
Fax Number : 518-689-0241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2013
Last Update Date : 01/08/2026

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Directions to “ MR. CORIN JAMES WENGER MSW, LCSW” Practice Location

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