National Provider Identifier

Jamie L Dimarco, LCSW-R

Jamie L Dimarco, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Spencerport, NY and a listed phone number of (585) 735-0060.

NPI 1174976625Spencerport, NYClinical Social Worker

Profile Overview

NPI
1174976625
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 20, 2016
Last Updated
December 19, 2024

Practice Location

  • 24 West Ave Ste 203
  • Spencerport, NY 14559-1344

Phone: (585) 735-0060

Specialties

  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1174976625
Entity Type
Individual
Last Name
Dimarco
First Name
Jamie
Middle Name
L
Credential
LCSW-R
Provider Other Last Name
Mort
Provider Other First Name
Jamie
Provider Other Middle Name
L
Provider Other Last Name Type Code
1
Mailing Street Address
24 West Ave Ste 203
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-1344
Mailing Country
US
Mailing Phone
(716) 474-3563
Mailing Fax
(585) 617-4118
Practice Street Address
24 West Ave Ste 203
Practice City
Spencerport
Practice State
NY
Practice ZIP Code
14559-1344
Practice Country
US
Practice Phone
(585) 735-0060
Practice Fax
(585) 617-4118
Enumeration Date
July 20, 2016
Last Updated
December 19, 2024
Sex
Female
Sole Proprietor
No
Certification Date
December 19, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Social Worker (104100000X)