Jamison Robert Wood, LMSW, CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

110862-01 Issued in NY

Practice address

2 Homestead Dr
Cortland, NY 13045-3402

Phone

(607) 453-4353

NPI assigned

Oct 23, 2014

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alcohol & Drug Council

  • Case Management Agency
  • Ithaca, NY
  • NPI 1972823771
  NPD (past)
• Alcohol & Drug Council of Tompkins County, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ithaca, NY
  • NPI 1194744227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1326443052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GREEN ST",
            "address_2": "SUITE 500",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOMESTEAD DR",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453402",
            "telephone_number": "607-453-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JAMISON",
        "middle_name": "ROBERT",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110862-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail A Withers, MSW
• Shane E Witt, RN
• Ann Wolak, P.A.
• Lynn T. Wolfson, CRC, SC
• Darcie Jonell Wood Lindley, PT, DPT
• Kellie Ann Wood, PTA
• Patricia S. Wood I, LMHC
• Timothy C. Wood, LMSW
• Jessica Woodard, CRPA
• Ammitai Worob, DC

• Social Worker in Cortland, NY
• Providers in Cortland, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.