Provider Demographics
NPI:1114220522
Name:TANSEY, JEANMARIE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:JEANMARIE
Middle Name:
Last Name:TANSEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 ROUTE 299
Mailing Address - Street 2:UCMHD HIGHLAND CLINIC
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528
Mailing Address - Country:US
Mailing Address - Phone:845-883-9751
Mailing Address - Fax:845-883-9751
Practice Address - Street 1:560 ROUTE 299
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-2841
Practice Address - Country:US
Practice Address - Phone:845-883-9747
Practice Address - Fax:845-883-9751
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079144-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker