Healthcare Provider Details

I. General information

NPI: 1942496138
Provider Name (Legal Business Name): JAMIE M. BOND LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 09/20/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 DUNCAN ST
WARSAW NY
14569-1017
US

IV. Provider business mailing address

12 NORTH PARK STREET 2ND FLOOR
SENECA FALLS NY
13148
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-8788
  • Fax: 585-786-8780
Mailing address:
  • Phone: 585-786-8788
  • Fax: 585-786-8780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: