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

Individual provider Clinical Social Worker · NPI 1508064551

MS. Marcia H Hertzog, LCSW is a Clinical Social Worker in Elmira, New York. Qualified in 1981, 45 years ago. Practices with Southern Tier Counseling Center LLC, a 4-clinician group. Licensed in New York.

Years since qualifying
45
Licensed in
NY
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

361 W Water St
Elmira, NY 14905-2519
Phone: (607) 737-4063
Fax: (607) 734-2019
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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 R028240-1 (NY)

Record details

NPI number1508064551
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESAugust 12, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Southern Tier Counseling Center Llc — 4 clinicians
Accepts Medicare assignment Not indicated

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