National Provider Identifier

Jason McKinney, LCSW-R, PHD

Jason McKinney, LCSW-R, PHD is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penfield, NY and a listed phone number of (585) 944-6116.

NPI 1598230567Penfield, NYClinical Social Worker

Profile Overview

NPI
1598230567
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 05, 2018
Last Updated
October 05, 2018

Practice Location

  • 44 Hilltop Dr
  • Penfield, NY 14526-2543

Phone: (585) 944-6116

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1598230567
Entity Type
Individual
Last Name
McKinney
First Name
Jason
Name Prefix
Dr.
Credential
LCSW-R, PHD
Mailing Street Address
44 Hilltop Dr
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-2543
Mailing Country
US
Mailing Phone
(585) 944-6116
Practice Street Address
44 Hilltop Dr
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2543
Practice Country
US
Practice Phone
(585) 944-6116
Enumeration Date
October 05, 2018
Last Updated
October 05, 2018
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)