Provider Demographics
NPI:1891850517
Name:CANINO, MICHAEL F (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:F
Last Name:CANINO
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 1:70 WASHINGTON ST
Mailing Address - Street 2:SUITE 3C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1442
Mailing Address - Country:US
Mailing Address - Phone:917-543-1011
Mailing Address - Fax:718-852-6921
Practice Address - Street 1:70 WASHINGTON ST APT 3C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1443
Practice Address - Country:US
Practice Address - Phone:917-543-1011
Practice Address - Fax:718-852-6921
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0694341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical