National Provider Identifier

Michelle Defino, LCSW

Michelle Defino, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Bath, NY and a listed phone number of (607) 664-2255.

NPI 1861820607Bath, NYSocial Worker

Profile Overview

NPI
1861820607
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 14, 2013
Last Updated
April 13, 2021

Practice Location

  • 115 Liberty St
  • Bath, NY 14810-1508

Phone: (607) 664-2255

Specialties

  • Social Worker (104100000X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1861820607
Entity Type
Individual
Last Name
Defino
First Name
Michelle
Credential
LCSW
Mailing Street Address
115 Liberty St
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-1508
Mailing Country
US
Mailing Phone
(607) 664-2255
Mailing Fax
(908) 994-7009
Practice Street Address
115 Liberty St
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1508
Practice Country
US
Practice Phone
(607) 664-2255
Enumeration Date
October 14, 2013
Last Updated
April 13, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 13, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X), Clinical Social Worker (1041C0700X)