Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Thomas John Durham, LCSW-R

Individual provider Clinical Social Worker · NPI 1639454101

Mr. Thomas John Durham, LCSW-R is a Clinical Social Worker in Canandaigua, New York. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
28
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

18 Douglas Dr
Canandaigua, NY 14424-1018
Phone: (585) 703-8942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 069779 (NY)

Record details

NPI number1639454101
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedOctober 17, 2011
Last updated in NPPESOctober 17, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canandaigua