Individual provider · Type 1 NPI
Thomas John Durham, LCSW-R
Clinical Social Worker · Canandaigua, NY
Practice location
18 Douglas Dr
Canandaigua, NY 14424-1018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 069779 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1639454101
Thomas John Durham, LCSW-R's National Provider Identifier is 1639454101, issued on Oct 17, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canandaigua, NY. The record was last updated on Oct 17, 2011.