MRS. DARA LEE WURZBURG (NPI# 1215346200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215346200 |
| Entity Type | Individual |
| Full Name | MRS. DARA LEE WURZBURG |
| Credential | LMSW |
| Practice Address |
28 William St Gouverneur NY 13642-1405 |
| Practice Telephone | 3152872811 |
| Practice Fax Number | 3152874743 |
| Mailing Telephone | 3152872811 |
| Mailing Fax Number | 3152874743 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 090417-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
28 WILLIAM ST |
| City | GOUVERNEUR |
| State | NY |
| Zip Code | 13642-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528388014 | Cynthia T Sherman | Counselor | 28 William St, Gouverneur Mental Health, Gouverneur, NY 13642-1405 | 2010-06-07 |
| 1083264857 | Denise Marie Herheim | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2019-09-13 |
| 1316499478 | Carrie Lynn Whitford | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-25 |
| 1215488382 | Alex Dickinson | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-24 |
| 1780135749 | St. Lawrence Psychiatric Center | Community/Behavioral Health | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-14 |
| 1063861771 | Paula Williams | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-06-03 |
| 1336527373 | Sharon Macdonald | Licensed Practical Nurse | 28 William St, Gouverneur, NY 13642-1405 | 2015-05-11 |
| 1700217759 | Emily Marie Kuntz | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2013-12-02 |
| 1558798009 | Christina Harman | Registered Nurse | 28 William St, Gouverneur, NY 13642-1405 | 2013-09-30 |
| 1669811881 | St. Lawrence Psychiatric Center | Community/Behavioral Health | 28 William St, Gouverneur, NY 13642-1405 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737933 | Heather Miller | Technician | 52 Cambray St, Gouverneur, NY 13642 | 2019-08-30 |
| 1295184554 | Payam Hadian | Family Medicine | 77 W Barney Street, Family Practice, Gouverneur, NY 13642 | 2016-06-08 |
| 1447484894 | Danny Len Holmes | Licensed Practical Nurse | 289 County Route #11, Gouverneur, NY 13642 | 2009-05-13 |
| 1235386657 | Alexander Edward Kuehl | Emergency Medicine | 95 Rock Island, Gouverneur, NY 13642 | 2008-08-27 |
| 1639228083 | Michael F Lapierre Pt | Physical Therapist | 173 East Main Street, Gouverneur, NY 13642 | 2007-01-08 |
| 1386748416 | Abdur R Jalazai Md PC | Internal Medicine | 63 West Barney St, Gouverneur, NY 13642 | 2006-09-11 |
| 1023052966 | Donell Jean Wright | Chiropractor | 137 E. Main Street, Suite 5, Gouverneur, NY 13642 | 2006-06-14 |
| 1699771295 | Teresa V Dombek-lang | Family Medicine | 77 W. Barney St., Gouverneur, NY 13642 | 2005-06-28 |
| 1295156412 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-16 |
| 1629409925 | Gouverneur Hospital | General Acute Care Hospital | 77 W Barney St, Gouverneur, NY 13642 | 2013-12-12 |
| Find all providers in zip 13642 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316499478 | Carrie Lynn Whitford | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-25 |
| 1215488382 | Alex Dickinson | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2016-10-24 |
| 1700217759 | Emily Marie Kuntz | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2013-12-02 |
| 1811241102 | Tyne K Mccreadie | Social Worker | 28 William St, Gouverneur, NY 13642-1405 | 2012-11-08 |
| 1033431499 | Jessica M Silberg | Social Worker | 77 W Barney St, Gouverneur, NY 13642-1040 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1386245215 | Vanessa Salazar | Social Worker | 55 E 115th St Apt 3i, New York, NY 10029-1179 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1699376673 | Kevin James Kleinknecht | Social Worker | 4332 47th St Apt B34, Sunnyside, NY 11104-1755 | 2020-11-05 |
| 1255932372 | Shaquan Robinson | Social Worker | 118 Roeckel Ave, Valley Stream, NY 11580-3504 | 2020-11-04 |
| 1992306252 | Joseph Catalano | Social Worker | 57 Oneida Ave, South Setauket, NY 11720-1130 | 2020-11-03 |
| 1982205282 | Stephanie Lopez | Social Worker | 85 Vista Ter S, Mahopac, NY 10541-3154 | 2020-11-03 |
| 1194326611 | Rebecca Leigh Eckerson | Social Worker | 4 Woodlake Dr, Saratoga Springs, NY 12866-8844 | 2020-11-02 |
| 1760083299 | Alena Nazarova | Social Worker | 7802 Bay Pkwy, Brooklyn, NY 11214-1508 | 2020-11-02 |
| 1306447966 | Juliana Pepaj | Social Worker | 13835 Elder Ave Apt 5g, Flushing, NY 11355-4068 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | GOUVERNEUR |
| Zip Code | 13642 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.