MR. THOMAS JOHN DURHAM (NPI# 1639454101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639454101 |
| Entity Type | Individual |
| Full Name | MR. THOMAS JOHN DURHAM |
| Credential | LCSW-R |
| Practice Address |
18 Douglas Dr Canandaigua NY 14424-1018 |
| Practice Telephone | 5857038942 |
| Mailing Telephone | 5857038942 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
069779 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861532822 | Thomas Wesley Durham | Psychologist | 219 Commerce St Ste B, Greenville, NC 27858-5031 | 2007-02-07 |
| 1376186924 | Thomas Durham | Case Manager/Care Coordinator | 1720 E 32nd St, Silver City, NM 88061-8304 | 2019-10-25 |
| Street Address |
18 DOUGLAS DR |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642626 | Michelle Mcglory-whyte | Social Worker | 1908 Saddle Horn Dr, Canandaigua, NY 14424-8152 | 2020-02-24 |
| 1508499708 | Candace J Ryan | Social Worker | 5581 Lochcrest Cir, Canandaigua, NY 14424-8857 | 2020-02-16 |
| 1912560004 | Stefan Patronski | Social Worker | 4094 Onnalinda Dr, Canandaigua, NY 14424-8231 | 2019-04-15 |
| 1366901217 | Sarah Guinavere Martyn | Social Worker | 5297 Parkside Dr Ste 420b, Canandaigua, NY 14424-7502 | 2019-03-19 |
| 1427532571 | Hilda Kay Loree-pryor, Lcsw-r, Casac | Social Worker | 493 S Main St Ste 4, Canandaigua, NY 14424-2126 | 2018-09-24 |
| 1518241231 | Victoria Grace Gashlin | Social Worker | 215 Granger St, Canandaigua, NY 14424-1149 | 2011-09-29 |
| 1841429818 | Paula V. Foos | Social Worker | 400 Fory Hill Ave., Canandaigua, NY 14424 | 2009-07-10 |
| 1477723559 | William J Cerveny | Social Worker | 5265 Seneca Point Rd, Canandaigua, NY 14424-8921 | 2008-03-05 |
| 1932382090 | Virginia M Whitney | Social Worker | 49 Charlotte St, Canandaigua, NY 14424-1815 | 2007-12-12 |
| 1255470670 | John Thomas Ryan | Social Worker | 23 Sly St, Canandaigua, NY 14424-1809 | 2007-02-05 |
| Find all providers in CANANDAIGUA | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.