Individual provider · Type 1 NPI

Thomas James Lane

Clinical Social Worker · Cooperstown, NY

NPI number 1366961369 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326

Call (607) 547-3456 Map

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X61498 (TX)
Clinical Social Worker Primary 1041C0700X090358 (NY)
Addiction (Substance Use Disorder) Counselor 101YA0400X13915 (TX)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1366961369

Thomas James Lane's National Provider Identifier is 1366961369, issued on Sep 12, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cooperstown, NY. The record was last updated on Oct 6, 2025.