Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael Joseph Herzog, LCSW-R

Individual provider Clinical Social Worker · NPI 1861703266

Mr. Michael Joseph Herzog, LCSW-R is a Clinical Social Worker in Canton, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

4 Commerce Ln
Canton, NY 13617-3739
Phone: (315) 386-8191
Fax: (315) 386-1410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R038436-1 (NY)

Record details

NPI number1861703266
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedJune 30, 2010
Last updated in NPPESJune 30, 2010

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