National Provider Identifier
Jessica E Vandamme
Jessica E Vandamme is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Shortsville, NY and a listed phone number of (585) 289-9649.
Profile Overview
- NPI
- 1194196444
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 13, 2015
- Last Updated
- October 13, 2015
Practice Location
- 1506 State Route 21
- Red Jacket Education Center
- Shortsville, NY 14548-9502
Phone: (585) 289-9649
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1194196444
- Entity Type
- Individual
- Last Name
- Vandamme
- First Name
- Jessica
- Middle Name
- E
- Name Prefix
- Mrs.
- Mailing Street Address
- 1506 State Route 21
- Mailing Address Line 2
- Red Jacket Education Center
- Mailing City
- Shortsville
- Mailing State
- NY
- Mailing ZIP Code
- 14548-9502
- Mailing Country
- US
- Mailing Phone
- (585) 289-9649
- Practice Street Address
- 1506 State Route 21
- Practice Address Line 2
- Red Jacket Education Center
- Practice City
- Shortsville
- Practice State
- NY
- Practice ZIP Code
- 14548-9502
- Practice Country
- US
- Practice Phone
- (585) 289-9649
- Enumeration Date
- October 13, 2015
- Last Updated
- October 13, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)