Individual provider · Type 1 NPI

Michael Joseph Herzog, LCSW-R

Clinical Social Worker · Canton, NY

NPI number 1861703266 Active

Practice location

4 Commerce Lane
Canton, NY 13617-3739

Call (315) 386-8191 Map

Fax (315) 386-1410

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR038436-1 (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 1861703266

Michael Joseph Herzog, LCSW-R's National Provider Identifier is 1861703266, issued on Jun 30, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canton, NY. The record was last updated on Jun 30, 2010.