National Provider Identifier

Stephen Gaylord, LCSW

Stephen Gaylord, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 368-6901.

NPI 1679800809Rochester, NYClinical Social Worker

Profile Overview

NPI
1679800809
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 09, 2009
Last Updated
November 09, 2018

Practice Location

  • 81 Lake Ave
  • Evelyn Brandon Health Center
  • Rochester, NY 14608-1410

Phone: (585) 368-6901

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1679800809
Entity Type
Individual
Last Name
Gaylord
First Name
Stephen
Name Prefix
Mr.
Credential
LCSW
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-1900
Mailing Fax
(585) 922-0636
Practice Street Address
81 Lake Ave
Practice Address Line 2
Evelyn Brandon Health Center
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1410
Practice Country
US
Practice Phone
(585) 368-6901
Practice Fax
(585) 368-6996
Enumeration Date
November 09, 2009
Last Updated
November 09, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)