National Provider Identifier

Richard Kenneth Davis, MSW

Richard Kenneth Davis, MSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7911.

NPI 1750320263Canandaigua, NYClinical Social Worker

Profile Overview

NPI
1750320263
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 06, 2006
Last Updated
July 08, 2007

Practice Location

  • 400 Fort Hill Ave
  • Vamc
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7911

Mailing Address

  • 1080 Sienna Rdg
  • Victor, NY 14564-9391

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1750320263
Entity Type
Individual
Last Name
Davis
First Name
Richard
Middle Name
Kenneth
Credential
MSW
Mailing Street Address
1080 Sienna Rdg
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-9391
Mailing Country
US
Mailing Phone
(585) 742-6277
Practice Street Address
400 Fort Hill Ave
Practice Address Line 2
Vamc
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7911
Enumeration Date
June 06, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)