Doctor Name: | MR. MICHAEL J. LUMLEY |
NPI Number: | 1194031013 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 058157-1 |
Business Practice Address: | 1 Chimney Point Dr Ogdensburg, NY - 136692212 |
Business Phone Number: | 3155412001 |
Business Fax Number: | |
Mailing Address: | 817 Morris St, OGDENSBURG |
State: | NY |
Postal Code: | 136693444 |
Phone Number: | 3153939612 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2010 |
NPI Last Update Date: | 08/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 058157-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |