MR. STEPHAN P MICHENER LCSW
NPI 1699840009
Social Worker - Clinical in Fairport, NY

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
6780 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450(585) 383-4478(585) 383-4478 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Stephan P Michener Lcsw NPPES

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

MR. STEPHAN P MICHENER LCSW (NPI 1699840009) is an individual clinical provider in Fairport, New York, licensed in New York (R033475-1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (1985).

NPPES Registry Identity

NPI1699840009
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. STEPHAN P MICHENERCredential: LCSW
Location Address6780 PITTSFORD PALMYRA RDFairport, NY 14450-3360
Mailing Address6780 Pittsford Palmyra RdFairport, NY 14450-3360 · (585) 383-4478 · Fax (585) 383-4478
Fax(585) 383-4478
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1985
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1699840009 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 · R033475-1
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.

6780 PITTSFORD PALMYRA RD, Fairport, NY 14450

Other Identifiers 1

Medicare UPIN102050FKNY

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. Stephan P Michener Lcsw 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 ID6507122199
PECOS Enrollment IDI20171115000910
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 14450 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
6780 PITTSFORD PALMYRA RD, SUITE 2B
FAIRPORT, NY 14450
Clinical Neuropsychologist
6780 PITTSFORD PALMYRA RD, BLDG. 3, SUITE 4D
FAIRPORT, NY 14450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699840009, enumerated as an "individual" on November 21, 2006.

The provider is located at 6780 PITTSFORD PALMYRA RD FAIRPORT, NY 14450 and the phone number is (585) 383-4478.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.