National Provider Identifier
Thomas John Durham, LCSW-R
Thomas John Durham, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 703-8942.
Source: public NPPES record, last updated October 17, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1639454101
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 17, 2011
- Last Updated
- October 17, 2011
Practice Location
- 18 Douglas Dr
- Canandaigua, NY 14424-1018
Phone: (585) 703-8942
Specialties
- Clinical Social Worker (1041C0700X)
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Biography
Thomas John Durham, LCSW-R, is a Canandaigua, New York clinical social worker in independent practice. The NPI Registry lists him with New York clinical social work licensure and sole-proprietor practice status, and New York’s LCSW requirements place the credential at the advanced clinical level, requiring supervised post-master’s clinical experience.
Full Record
- NPI
- 1639454101
- Entity Type
- Individual
- Last Name
- Durham
- First Name
- Thomas
- Middle Name
- John
- Name Prefix
- Mr.
- Credential
- LCSW-R
- Mailing Street Address
- 18 Douglas Dr
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1018
- Mailing Country
- US
- Mailing Phone
- (585) 703-8942
- Practice Street Address
- 18 Douglas Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1018
- Practice Country
- US
- Practice Phone
- (585) 703-8942
- Enumeration Date
- October 17, 2011
- Last Updated
- October 17, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)