Provider Demographics
NPI:1538595954
Name:DAKERS, JAIME LYNN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LYNN
Last Name:DAKERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-2335
Mailing Address - Country:US
Mailing Address - Phone:516-239-5182
Mailing Address - Fax:718-327-3132
Practice Address - Street 1:90 HENRY ST
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-2335
Practice Address - Country:US
Practice Address - Phone:516-239-5182
Practice Address - Fax:718-327-3132
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074124104100000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker