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MR. THOMAS JOHN DURHAM LCSW-R
NPI 1639454101
Social Worker - Clinical in Canandaigua, NY

Active since October 17, 2011PECOS EnrolledAccepts Medicare Assignment
18 DOUGLAS DR, CANANDAIGUA, NY 14424(585) 703-8942 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas John Durham Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS JOHN DURHAM LCSW-R (NPI 1639454101) is an individual clinical provider in Canandaigua, New York, licensed in New York (069779) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1639454101
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THOMAS JOHN DURHAMCredential: LCSW-R
Location Address18 DOUGLAS DRCanandaigua, NY 14424-1018
Mailing Address18 Douglas DrCanandaigua, NY 14424-1018 · (585) 703-8942
Phone(585) 703-8942
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 17, 2011
✔ NPI 1639454101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 069779
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.
18 DOUGLAS DR, Canandaigua, NY 14424
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas John Durham Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971557836
PECOS Enrollment IDI20050303000869
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Durham's NPI number?

The NPI number for Thomas Durham is 1639454101. It was assigned to this individual provider in the NPPES registry on October 17, 2011.

Where is Thomas Durham located?

Thomas Durham practices at 18 Douglas Dr, Canandaigua, NY 14424. The listed phone number is (585) 703-8942.

What is Thomas Durham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Thomas Durham enrolled in Medicare?

Yes. Thomas Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Durham accept?

Health plans from Providence Health Plan list Thomas Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Durham was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.