National Provider Identifier
Stephan P Michener, LCSW
Stephan P Michener, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Fairport, NY and a listed phone number of (585) 383-4478.
Profile Overview
- NPI
- 1699840009
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 21, 2006
- Last Updated
- July 09, 2007
Practice Location
- 6780 Pittsford Palmyra RD
- Fairport, NY 14450-3360
Phone: (585) 383-4478
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1699840009
- Entity Type
- Individual
- Last Name
- Michener
- First Name
- Stephan
- Middle Name
- P
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 6780 Pittsford Palmyra RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3360
- Mailing Country
- US
- Mailing Phone
- (585) 383-4478
- Mailing Fax
- (585) 383-4478
- Practice Street Address
- 6780 Pittsford Palmyra RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3360
- Practice Country
- US
- Practice Phone
- (585) 383-4478
- Practice Fax
- (585) 383-4478
- Enumeration Date
- November 21, 2006
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)