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MR. DAVID GEROULD MARKHAM L.C.S.W. NPI 1972628337


NPI Information

NPI: 1972628337
Provider Name: MR. DAVID GEROULD MARKHAM, L.C.S.W.
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
58 MARKET ST
BROCKPORT, NY
ZIP 14420
Phone: (585) 637-0040
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MR. David Gerould Markham, L.C.S.W. is a clinical social worker in Brockport, NY. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MR. David Gerould Markham, L.C.S.W. NPI is 1972628337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

58 MARKET ST
BROCKPORT, NY
ZIP 14420-934
Phone: (585) 637-0040

The enumeration date for this NPI number is 3/21/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalPRO13588-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P0010013588OTHERNEW YORKEXCELLUS BLUE CROSS AND B
2100340FKOTHERNEW YORKPREFERRED CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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