Jayne Potter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R029604-1 Issued in NY

Practice address

366 Jericho Tpke
Mineola, NY 11501-1612

Phone

(516) 742-4015

Fax

(516) 742-4620

NPI assigned

Nov 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1700066305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011612",
            "telephone_number": "516-742-4015",
            "fax_number": "516-742-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011612",
            "telephone_number": "516-742-4015",
            "fax_number": "516-742-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JAYNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R029604-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather A Posillico, DO
• Nicole Posillico
• Shannon L Postiglione
• Renee Potashner, MD
• Carol Marcia Potruch, LCSW, PHD
• James Vanarsdale Potts, DO
• Shannon Poulose, MD
• Anthony Powers
• Megan Beatrice Powers, PA-C
• Thaleshravi Prashad, FNP-C

• Clinical Social Worker in Mineola, NY
• Providers in Mineola, 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 12, 2007; 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.