Provider Demographics
NPI:1124694849
Name:KURTZ, WILLIAM HARRISON III (MSW, LSW)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HARRISON
Last Name:KURTZ
Suffix:III
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 SNYDER ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-1333
Mailing Address - Country:US
Mailing Address - Phone:610-674-7388
Mailing Address - Fax:
Practice Address - Street 1:1503 SNYDER ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1333
Practice Address - Country:US
Practice Address - Phone:610-674-7388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136684104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker