Active NPI
Michael Walther
- Clinical Social Worker
- Canandaigua, NY
National Provider Identifier
1255229019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 130795
- Practice address
- 3071 County Complex Dr
Canandaigua, NY 14424-9505 - Phone
- (585) 394-7500
- NPI assigned
- Jun 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 130795 | NY | Primary |
Addresses
Primary practice location
3071 County Complex Dr
Canandaigua, NY 14424-9505
Mailing address
31 Radcliffe Rd
Rochester, NY 14617-2711
Phone (585) 755-6272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130795 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1255229019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 RADCLIFFE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146172711",
"telephone_number": "585-755-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3071 COUNTY COMPLEX DR",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144249505",
"telephone_number": "585-394-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTHER",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-27",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "130795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.