Provider Demographics
NPI:1801334396
Name:LEONE, JAMIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
Last Name:LEONE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:HUMPHREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:168 W 86TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4023
Mailing Address - Country:US
Mailing Address - Phone:646-753-1216
Mailing Address - Fax:
Practice Address - Street 1:168 W 86TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4023
Practice Address - Country:US
Practice Address - Phone:646-753-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC059764001041C0700X
NJ44SL062203001041C0700X
NY090140-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical