Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL STEPHEN DAUTRICH, LCSW-R
Active Sole ProprietorMR. MICHAEL STEPHEN DAUTRICH, LCSW-R is a Clinical Social Worker healthcare provider located in CAYUGA, New York. NPI 1588235386 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CAYUGA, NY
Registration Details
- NPI Number
- 1588235386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2021 (5.1300616707757 yrs)
- Last Updated
- Jul 2, 2021
- License
-
R045081-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
480 TURNPIKE RDCAYUGA, NY, 130342120Browse NY providers · Browse ZIP 13034
- Phone
- 3159164126
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.