| Mr Michael Joseph Herzog, LCSW-R | |
|
4 Commerce Lane, Canton, NY 13617-3739 | |
| (315) 386-8191 | |
| (315) 386-1410 |
| Full Name | Mr Michael Joseph Herzog |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4 Commerce Lane, Canton, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861703266 | NPI | - | NPPES |
| 01995615 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R038436-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Joseph Herzog, LCSW-R 4 Commerce Lane, Canton, NY 13617-3739 Ph: (315) 386-8191 | Mr Michael Joseph Herzog, LCSW-R 4 Commerce Lane, Canton, NY 13617-3739 Ph: (315) 386-8191 |
Mr. Bernard A Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Commerce Ln, Canton, NY 13617 Phone: 315-386-8191 Fax: 315-386-1410 | |
Mr. Michael Brown, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Miner St, Canton, NY 13617 Phone: 315-379-9333 | |
Mr. Timothy James Corbitt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Park St, Canton, NY 13617 Phone: 315-229-5392 | |
Justin Roger Barkley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 State St, #3, Canton, NY 13617 Phone: 315-323-0146 | |
Ms. Lisa V Thomas, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: East Main St., Canton, NY 13617 Phone: 315-347-2029 | |
Sara Hutcheson, LCSWR Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 State St, Canton, NY 13617 Phone: 315-386-1164 | |
Mr. Robert Gearon Bowser, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Commerce Ln, Cp Family Healthcare Clinic, Canton, NY 13617 Phone: 315-386-8191 Fax: 315-386-1410 |