Christine E Jaimes, LCSW R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R073646-1 Issued in NY

Practice address

1868 Niagara Falls Blvd Ste 306
Tonawanda, NY 14150-6494

Phone

(716) 359-3008

NPI assigned

Jan 18, 2007

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1548312572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 BUCYRUS DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281954",
            "telephone_number": "716-359-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 NIAGARA FALLS BLVD STE 306",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141506494",
            "telephone_number": "716-359-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Main Street",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14214",
            "country_code": "US",
            "telephone_number": "716-835-4011",
            "fax_number": "716-835-0253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIMES",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0736461",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R073646-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Inclima Inclima
• Kristine Ingro, PMHNP
• Amy B Internicola, LICENSED OPTICIAN
• Elaine Elizabeth Irwin, RN
• John Iskander
• Rajiv Jain, MD
• James a. Hoddick, D.D.S. & Thomas J. Balazs, D.D.S., L.L.P.
• James P Crawford, PT (Buffalo Ergonomics)
• Jamie L Brenon DC PLLC
• Susan Jarvis, SLP

• Clinical Social Worker in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.