Provider Demographics
NPI:1528712908
Name:COLON, WILLIAM (LMSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:COLON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2084
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1556
Mailing Address - Country:US
Mailing Address - Phone:917-885-0623
Mailing Address - Fax:
Practice Address - Street 1:865 AMSTERDAM AVE APT 8G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4445
Practice Address - Country:US
Practice Address - Phone:212-749-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0705661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty