Sprague, Jessie Lee

Sprague, Jessie Lee is an individual health care provider with primary practice located at 4220 Bolivar Rd , Wellsville NY 14895-9332. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sprague, Jessie Lee can be contacted via phone (585) 593-6300.

Contact Information

Primary practice address
4220 Bolivar Rd Wellsville NY 14895-9332
Phone: (585) 593-6300
Fax: (585) 593-7071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R055822-1 New York

Profile Details

NPI number 1326060757
LBN Legal business name Sprague, Jessie Lee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326060757 NPPES
New York Other 000590264001 BC/BS OF WNY
New York MEDICAID 00740423 BC/BS OF WNY

Popular Providers