National Provider Identifier
David Gerould Markham, L.C.S.W.
David Gerould Markham, L.C.S.W. is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Brockport, NY and a listed phone number of (585) 637-0040.
Profile Overview
- NPI
- 1972628337
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 21, 2007
- Last Updated
- July 08, 2007
Practice Location
- 58 Market St
- Brockport, NY 14420-1934
Phone: (585) 637-0040
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1972628337
- Entity Type
- Individual
- Last Name
- Markham
- First Name
- David
- Middle Name
- Gerould
- Name Prefix
- Mr.
- Credential
- L.C.S.W.
- Mailing Street Address
- 58 Market St
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1934
- Mailing Country
- US
- Mailing Phone
- (585) 637-0040
- Practice Street Address
- 58 Market St
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1934
- Practice Country
- US
- Practice Phone
- (585) 637-0040
- Enumeration Date
- March 21, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- 100340FK (NY, Preferred Care), P0010013588 (NY, Excellus Blue Cross And B)