National Provider Identifier

Jimmie Eddington Jr., LCSW

Jimmie Eddington Jr., LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 285-9746.

NPI 1063395416Rochester, NYClinical Social Worker

Profile Overview

NPI
1063395416
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 30, 2025
Last Updated
July 30, 2025

Practice Location

  • 405 Ripplewood Dr
  • Rochester, NY 14616-1551

Phone: (585) 285-9746

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1063395416
Entity Type
Individual
Last Name
Eddington
First Name
Jimmie
Name Suffix
Jr.
Credential
LCSW
Mailing Street Address
405 Ripplewood Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-1551
Mailing Country
US
Mailing Phone
(585) 285-9746
Practice Street Address
405 Ripplewood Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-1551
Practice Country
US
Practice Phone
(585) 285-9746
Enumeration Date
July 30, 2025
Last Updated
July 30, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
July 30, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)