Individual provider Active NPI

William R. Unwin, LCSW

  • Clinical Social Worker
  • Ticonderoga, NY
National Provider Identifier
1780839829
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
039457 Issued in NY
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00630039MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050623000311 NY Practitioner - Clinical Social Worker 2163467804 Reassigns benefits to 1 organization

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
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

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

LicenseStateTypeSpecialty
039457NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Clinical CurrentSince Nov 16, 2016 Accepting new patients
The Institute for Family Health Clinical Current Accepting new patients
The Institute for Family Health Clinical CurrentSince Nov 16, 2016 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.

View all 13

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

Sources for this page

Verify at the official NPI Registry.