Provider Demographics
NPI:1790903680
Name:STEINER, JOHN NELSON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NELSON
Last Name:STEINER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 REDDICK LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1916
Mailing Address - Country:US
Mailing Address - Phone:585-594-0419
Mailing Address - Fax:
Practice Address - Street 1:1150 UNIVERSITY AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1647
Practice Address - Country:US
Practice Address - Phone:518-952-8140
Practice Address - Fax:518-952-8287
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01420800Medicaid
NYRB6433Medicare PIN