Active NPI
Donald Pool, LMSW
- Social Worker
- Jamestown, NY
National Provider Identifier
1255716296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092560
- Practice address
- 880 E 2ND St
Jamestown, NY 14701-3824 - Phone
- (716) 661-1590
- NPI assigned
- Jul 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 092560 | NY | Primary |
Addresses
Primary practice location
880 E 2ND St
Jamestown, NY 14701-3824
Mailing address
200 Dunham Ave
Jamestown, NY 14701-2528
Phone (716) 661-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092560 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1255716296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 DUNHAM AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147012528",
"telephone_number": "716-661-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 E 2ND ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147013824",
"telephone_number": "716-661-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "DONALD",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-20",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.