Individual provider · Type 1 NPI

Stephan P. Michener, LCSW

Clinical Social Worker · Fairport, NY

NPI number 1699840009 Active

Practice location

6780 Pittsford Palmyra Rd
Fairport, NY 14450-3360

Fax (585) 383-4478

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR033475-1 (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 1699840009

Stephan P. Michener, LCSW's National Provider Identifier is 1699840009, issued on Nov 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairport, NY. The record was last updated on Jul 9, 2007.