Provider Demographics
NPI:1902785041
Name:CAHILL, NANCY J (NYS LCSWR)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:CAHILL
Suffix:
Gender:F
Credentials:NYS LCSWR
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:J
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NYS LCSWR
Mailing Address - Street 1:3104 CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-3002
Mailing Address - Country:US
Mailing Address - Phone:607-237-5332
Mailing Address - Fax:
Practice Address - Street 1:3104 CORNELL AVE
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3002
Practice Address - Country:US
Practice Address - Phone:607-237-5332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR032576-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health