MR. MICHAEL JOSEPH HERZOG (NPI# 1861703266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861703266 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JOSEPH HERZOG |
| Credential | LCSW-R |
| Practice Address |
4 Commerce Lane Canton NY 13617-3739 |
| Practice Telephone | 3153868191 |
| Practice Fax Number | 3153861410 |
| Mailing Telephone | 3153868191 |
| Mailing Fax Number | 3153861410 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R038436-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01995615 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639197957 | Michael Herzog | Urology | 16522 S.106 Court, Orland Park, IL 60467 | 2006-07-17 |
| 1730474396 | Michael Herzog | Pharmacist | 4020 Milan Rd, T-2159, Sandusky, OH 44870-5892 | 2011-06-12 |
| Street Address |
4 COMMERCE LANE |
| City | CANTON |
| State | NY |
| Zip Code | 13617-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618084 | Muhammad U Saleem | Psychiatry & Neurology | 4 Commerce Lane, Canton, NY 13617-3739 | 2005-09-07 |
| 1881948966 | Shannon Marie Mayette | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617-3739 | 2012-10-29 |
| 1477806693 | Danielle E Poste | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2012-10-25 |
| 1871843193 | Christine R Thrasher | Nurse Practitioner | 4 Commerce Lane, Canton, NY 13617 | 2012-09-13 |
| 1750669958 | Kimberly Elizabeth Murray | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617-3739 | 2011-07-22 |
| 1568785228 | Judith Ann Chase | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2010-03-10 |
| 1598904195 | Julie W Catling | Social Worker | 4 Commerce Lane, Canton, NY 13617-3739 | 2009-02-05 |
| 1831344704 | United Cerebral Palsy Assoc of The North Country Inc | Dental Hygienist | 4 Commerce Lane, Canton, NY 13617 | 2008-11-19 |
| 1104072388 | Jesse J Kibert | Physician Assistant | 4 Commerce Lane, Canton, NY 13617-3739 | 2008-08-07 |
| 1790985182 | Georgia Ann Hargrave | Nurse Practitioner | 4 Commerce Lane, Canton, NY 13617 | 2007-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| 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 |
|---|---|---|---|---|
| 1407455504 | Kathleen Cafferty | Social Worker | 48377 Castleside Ct, Canton, MI 48187-1251 | 2020-10-20 |
| 1710596440 | Andrea Thomas | Social Worker | 43555 Fleetwood Ct, Canton, MI 48187-4911 | 2020-07-28 |
| 1265056394 | Sakoon Psychotherapy Pllc | Social Worker | 6512 N Canton Center Rd, Canton, MI 48187-1652 | 2020-06-04 |
| 1538783907 | Donna Jo Trimm Calk | Social Worker | 24 Goodrich St, Canton, NY 13617-1123 | 2020-06-02 |
| 1225650245 | Lydia Bishop | Social Worker | 124 Academy Ln, Canton, GA 30114-9903 | 2020-05-13 |
| 1730729112 | Carly Marie Farrell | Social Worker | 110 Hidden Lake Cir, Canton, GA 30114-1233 | 2020-01-13 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1821639014 | Sarah Winslow | Social Worker | 4081 Hunters Cir E, Canton, MI 48188-2348 | 2019-09-30 |
| 1851943278 | Rose Irene Schulist | Social Worker | 50202 Proctor Rd, Canton, MI 48188-1010 | 2019-07-16 |
| 1285292540 | Katelyn M Maddock | Social Worker | 48130 Royal Pointe Dr, Canton, MI 48187-5466 | 2019-06-03 |
| Find all providers in CANTON | ||||
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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.