Healthcare Provider Details

I. General information

NPI: 1841137924
Provider Name (Legal Business Name): JEANINE BARI PRIMM JONES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 SOUTH RD
WHITE PLAINS NY
10603-2809
US

IV. Provider business mailing address

191 SOUTH RD
WHITE PLAINS NY
10603-2809
US

V. Phone/Fax

Practice location:
  • Phone: 347-693-3208
  • Fax:
Mailing address:
  • Phone: 347-693-3208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number102081-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: