National Provider Identifier
Dustin Ray Dodge, LMSW
Dustin Ray Dodge, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 953-6135.
Profile Overview
- NPI
- 1649967191
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- April 24, 2023
- Last Updated
- May 08, 2025
Practice Location
- 3170 West St Ste 150
- Canandaigua, NY 14424-1786
Phone: (585) 953-6135
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1649967191
- Entity Type
- Individual
- Last Name
- Dodge
- First Name
- Dustin
- Middle Name
- Ray
- Credential
- LMSW
- Mailing Street Address
- 3170 West St Ste 150
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1786
- Mailing Country
- US
- Mailing Phone
- (585) 953-6135
- Practice Street Address
- 3170 West St Ste 150
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1786
- Practice Country
- US
- Practice Phone
- (585) 953-6135
- Enumeration Date
- April 24, 2023
- Last Updated
- May 08, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 08, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)