Jessica Doerr, LCSW

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

080008 Issued in NY

Practice address

2025 Route 9W
RCS High School
Ravena, NY 12186

Phone

(518) 756-5200

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1922351899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 ROUTE 9W",
            "address_2": "RCS HIGH SCHOOL",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "12186",
            "telephone_number": "518-756-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 ROUTE 9W",
            "address_2": "RCS HIGH SCHOOL",
            "city": "RAVENA",
            "state": "NY",
            "postal_code": "12186",
            "telephone_number": "518-756-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "080008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Michelle Danton, 174400000X
• Joanne Dardani, RN
• Gabriella G Deangelo
• Laurel E Dickerson, P.T.
• Sandra Doane, RN
• Bryan Dyer, PHARMD, RPH
• Early Childhood Learning Center, Inc. (Circle of Friends)
• Pamela L Early
• Amanda Lynn Eissing, RN
• Elizabeth Beagle, LMHC

• Local Education Agency (LEA) in Ravena, NY
• Providers in Ravena, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.