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MR. MICHAEL JOSEPH HERZOG LCSW-R
NPI 1861703266
Social Worker - Clinical in Canton, NY

Active since June 30, 2010
4 COMMERCE LANE, CANTON, NY 13617(315) 386-8191(315) 386-1410 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Joseph Herzog Lcsw-r NPPES

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

MR. MICHAEL JOSEPH HERZOG LCSW-R (NPI 1861703266) is an individual clinical provider in Canton, New York, licensed in New York (R038436-1) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1861703266
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL JOSEPH HERZOGCredential: LCSW-R
Location Address4 COMMERCE LANECanton, NY 13617-3739
Mailing Address4 Commerce LaneCanton, NY 13617-3739 · (315) 386-8191 · Fax (315) 386-1410
Phone(315) 386-8191
Fax(315) 386-1410
Sole ProprietorNo
Enumeration DateJune 30, 2010
✔ NPI 1861703266 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 · R038436-1
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.
4 COMMERCE LANE, Canton, NY 13617
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Other Identifiers 2

Medicaid01995615NY
Medicare PINAA0564NY

Other Providers at the Same Location NPPES 20

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

MRS. BARBARA L TERIELE LPN
Licensed Practical Nurse
4 COMMERCE LANE
CANTON, NY 13617
St. Lawrence County (315) 386-8191
JESSE J KIBERT PA
Physician Assistant (Medical)
4 COMMERCE LANE
CANTON, NY 13617
St. Lawrence County (315) 386-8191
ERIN BETH KNOWLTON RN
Registered Nurse
4 COMMERCE LANE
CANTON, NY 13617
St. Lawrence County (315) 386-8191
ANDREW FOX WILLIAMS MD
Internal Medicine
4 COMMERCE LANE
CANTON, NY 13617
St. Lawrence County (315) 386-8191
MUHAMMAD U SALEEM M.D.
Psychiatry & Neurology (Psychiatry)
4 COMMERCE LANE
CANTON, NY 13617
St. Lawrence County (315) 386-8191
MISS TAMAR A. HAMILTON PHYSICAL THERAPIST
Physical Therapist
4 COMMERCE LANE, CPA OF THE NORTH COUNTY
CANTON, NY 13617
St. Lawrence County (315) 386-8191
DEBORAH G NINA DDS
Dentist
4 COMMERCE LANE
CANTON, NY 13617
St. Lawrence County (315) 386-8791
MRS. VIRGINIA MARIE DEROUCHIE RDH
Dental Hygienist
4 COMMERCE LANE
CANTON, NY 13617
St. Lawrence County (315) 386-8191

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 Michael Herzog's NPI number?

The NPI number for Michael Herzog is 1861703266. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Michael Herzog located?

Michael Herzog practices at 4 Commerce Lane, Canton, NY 13617. The listed phone number is (315) 386-8191.

What is Michael Herzog's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Herzog was last updated on June 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.