Jayne Potter in Mineola - Clinical

Jayne Potter - NPI 1700066305

Jayne Potter is a Clinical in Mineola, New York. Jayne Potter practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jayne Potter is 1700066305. The last update date is 2007-11-12.

Jayne Potter's current location address is 366 Jericho Tpke, Mineola, New York. You can contact this provider via phone number 5167424015 and fax number 5167424620. The mailing address for Jayne Potter is 366 Jericho Tpke, Mineola, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jayne Potter
Address 366 Jericho Tpke, Mineola, New York
Phone Number 5167424015
Fax Number 5167424620
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1700066305
Provider Enumeration Date 2007-11-12
Last Updated Date 2007-11-12

Provider Mailing Address Detail

Address 366 Jericho Tpke
City Mineola
State New York (NY)
Post Code 115011612
Phone Number 5167424015
Fax Number 5167424620

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R029604-1
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Jayne Potter

What is the Jayne Potter's 1700066305?

The Jayne Potter's NPI (National Provider Identifier) Number is 1700066305. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jayne Potter located?

The Jayne Potter is located at 366 Jericho Tpke, Mineola, NY 115011612.

What is Jayne Potter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jayne Potter's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

When was the Jayne Potter's 1700066305 issued?

The Jayne Potter's 1700066305 was issued on 2007-11-12.

As of what date was the information regarding Jayne Potter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jayne Potter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-12.

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