Provider Demographics
NPI:1013259068
Name:DOWNS, JAMIE (MSW, LICSW, AADC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MSW, LICSW, AADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3461 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3198
Mailing Address - Country:US
Mailing Address - Phone:304-680-7003
Mailing Address - Fax:
Practice Address - Street 1:3461 UNIVERSITY AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3198
Practice Address - Country:US
Practice Address - Phone:304-680-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-17
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11-105101YA0400X
101YP1600X
WVDP009440841041C0700X
WVBP009440841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral