Provider Demographics
NPI:1013007947
Name:SEALY, JAMEE M (LCSWR)
Entity Type:Individual
Prefix:MS
First Name:JAMEE
Middle Name:M
Last Name:SEALY
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 353
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-0353
Mailing Address - Country:US
Mailing Address - Phone:315-568-8894
Mailing Address - Fax:315-568-8894
Practice Address - Street 1:115 FALL ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1493
Practice Address - Country:US
Practice Address - Phone:315-568-8894
Practice Address - Fax:315-568-8894
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR036144101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7492167OtherVALUE OPTIONS/GHI
NY7850541OtherAETNA
NY155811FKOtherPREFERRED CARE