Provider Demographics
NPI:1871858183
Name:PICONE BAYLEY, JAMIE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:M
Last Name:PICONE BAYLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:M
Other - Last Name:BAYLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:232 BELVOIR RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3604
Mailing Address - Country:US
Mailing Address - Phone:716-472-3092
Mailing Address - Fax:
Practice Address - Street 1:300 BEWLEY BUILDING
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-2943
Practice Address - Country:US
Practice Address - Phone:716-478-0315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00078049104100000X
NY0805071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker