National Provider Identifier
Chad Van Gorder, LMSW
Chad Van Gorder, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Fairport, NY and a listed phone number of (315) 783-7893.
Profile Overview
- NPI
- 1184323735
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- March 02, 2023
- Last Updated
- March 02, 2023
Practice Location
- 5 Vanderberg Dr
- Fairport, NY 14450-8427
Phone: (315) 783-7893
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1184323735
- Entity Type
- Individual
- Last Name
- Van Gorder
- First Name
- Chad
- Name Prefix
- Mr.
- Credential
- LMSW
- Mailing Street Address
- 5 Vanderberg Dr
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8427
- Mailing Country
- US
- Mailing Phone
- (315) 783-7893
- Practice Street Address
- 5 Vanderberg Dr
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-8427
- Practice Country
- US
- Practice Phone
- (315) 783-7893
- Enumeration Date
- March 02, 2023
- Last Updated
- March 02, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- March 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)