Provider Demographics
NPI:1740016229
Name:DAMRON, JAMI ANNE (LMSW)
Entity type:Individual
Prefix:MS
First Name:JAMI
Middle Name:ANNE
Last Name:DAMRON
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 1:465 RURITAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24590-4440
Mailing Address - Country:US
Mailing Address - Phone:434-465-0597
Mailing Address - Fax:
Practice Address - Street 1:465 RURITAN LAKE RD
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24590-4440
Practice Address - Country:US
Practice Address - Phone:434-465-0597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0903004171104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker