Provider Demographics
NPI:1578714168
Name:DOYLE, DANIEL RAYMOND (LCSWR)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:RAYMOND
Last Name:DOYLE
Suffix:
Gender:M
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 DALEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3820
Mailing Address - Country:US
Mailing Address - Phone:585-342-1193
Mailing Address - Fax:
Practice Address - Street 1:180 DALEY BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-3820
Practice Address - Country:US
Practice Address - Phone:585-342-1193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical