Provider Demographics
NPI:1013643295
Name:NEAL, JAMAL DAVIS JR (LMSW)
Entity type:Individual
Prefix:
First Name:JAMAL
Middle Name:DAVIS
Last Name:NEAL
Suffix:JR
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 CORNELL ST STE 201
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3652
Mailing Address - Country:US
Mailing Address - Phone:845-377-6511
Mailing Address - Fax:
Practice Address - Street 1:168 CORNELL ST STE 201
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3652
Practice Address - Country:US
Practice Address - Phone:845-377-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical