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NPI Code Detail

MEDICARE: JAMAL DAVIS NEAL JR. LMSW

MEDICARE: JAMAL DAVIS NEAL JR. LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1013643295
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMAL DAVIS NEAL JR. LMSW
Provider Business Mailing Address
First Line : 6339 MILL ST
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-1427
Country : US
Telephone Number : 845-871-1000
Fax Number :
Provider Business Practice Location Address
First Line : 6339 MILL ST
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-1427
Country : US
Telephone Number : 845-871-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 06/17/2026

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