National Provider Identifier

Todd Stork

Todd Stork is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 442-8422.

NPI 1225735160Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1225735160
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
February 10, 2023
Last Updated
November 04, 2025

Practice Location

  • 556 Clinton Ave S
  • Rochester, NY 14620-1105

Phone: (585) 442-8422

Mailing Address

  • 79 Glenridge RD
  • Glenville, NY 12302-4528

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1225735160
Entity Type
Individual
Last Name
Stork
First Name
Todd
Mailing Street Address
79 Glenridge RD
Mailing City
Glenville
Mailing State
NY
Mailing ZIP Code
12302-4528
Mailing Country
US
Practice Street Address
556 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1105
Practice Country
US
Practice Phone
(585) 442-8422
Practice Fax
(585) 442-8494
Enumeration Date
February 10, 2023
Last Updated
November 04, 2025
Sex
Male
Sole Proprietor
No
Certification Date
November 04, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
01420800 (NY)