Active NPI
William R. Unwin, LCSW
- Clinical Social Worker
- Ticonderoga, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 039457
- Practice address
- 102 Race Track Rd
Ticonderoga, NY 12883-4004 - Phone
- (518) 585-6708
- Fax
- (518) 585-3260
- NPI assigned
- Nov 17, 2008
- Last updated
- Nov 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 039457 | NY | Primary |
Addresses
Primary practice location
102 Race Track Rd
Ticonderoga, NY 12883-4004
Mailing address
PO Box 357
Glens Falls, NY 12801-0357
Phone (518) 761-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00630039 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Family Practice Dr
Kingston, NY 12401-6449
Phone (845) 338-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039457 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| The Institute for Family Health | Clinical | Past | Accepting new patients |
| Hudson Headwaters Health Network | Past | Accepting new patients |
Locations
130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045
1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610
1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610
1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508
6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500
11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020
1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562
1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535
140 Pine St
Kingston, NY 12401
Phone (844) 434-2778
140 Pine St
Fl 2
Kingston, NY 12401
279 Main St
New Paltz, NY 12561
Phone (845) 255-2930
279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606
230 W 17th St
New York, NY 10011
Phone (212) 989-8999
251 W 80th St
New York, NY 10024
601 W 114th St
New York, NY 10025
Phone (212) 280-1284
690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Institute for Family Health
- Family Medicine Physician
- New York, NY
- NPI 1295729408
Clinical
-
- Primary Care Clinic/Center
- Salem, NY
- NPI 1982417119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1780839829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128010357",
"telephone_number": "518-761-0300",
"fax_number": "518-745-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 RACE TRACK RD",
"city": "TICONDEROGA",
"state": "NY",
"postal_code": "128834004",
"telephone_number": "518-585-6708",
"fax_number": "518-585-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNWIN",
"first_name": "WILLIAM",
"middle_name": "R.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "039457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00630039",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ticonderoga, NY
- Ticonderoga Emergency Squad Inc
- Marjorie Cook Tierney, RN
- Dawn Ellen Titus, LPO
- Town of Ticonderoga Board of Education
- Emily Triplett, MD
- Annalyn Bantugan Vilardo, PT, DPT, CLWT, GCS
- Kim Vilardo, PT
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2424)
- Walgreen Co (Walgreens #18030)
- Wendy Bresett Physical Therapy, P.L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.