Provider Demographics
NPI:1407250608
Name:COTTIER, JANE F (LMSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:F
Last Name:COTTIER
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 1:219 GREYSTONE LN
Mailing Address - Street 2:APARTMENT 11
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5136
Mailing Address - Country:US
Mailing Address - Phone:585-330-4487
Mailing Address - Fax:
Practice Address - Street 1:N2060 BRIGHTON HENRIETTA TOWNLINE ROAD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-271-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-16
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093430104100000X
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker