MR. MICHAEL JOSEPH HERZOG


Address: 4 Commerce Lane, Canton, NY 13617-3739
Phone: 3153868191

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
R038436-1 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01995615 05

Other Providers MICHAEL HERZOG

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

Office Location

Street Address 4 COMMERCE LANE
City CANTON
State NY
Zip Code 13617-3739

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City CANTON
Zip Code 13617

Improve Information

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Dataset Information

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.

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