Individual provider · Type 1 NPI
Jillian Rae Humphrey, LMSW
School Social Worker · Pavilion, NY
NPI number
1619854650
Active
Practice location
7014 Big Tree Rd
Pavilion, NY 14525-9138
Mailing address
9694 Roanoke Rd
Stafford, NY 14143-9536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Social Worker Primary | 1041S0200X | 128479 (NY) |
School Social Worker: Definition to come...
3 other providers at this address
About NPI 1619854650
Jillian Rae Humphrey, LMSW's National Provider Identifier is 1619854650, issued on Aug 20, 2025. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Pavilion, NY. The record was last updated on Aug 20, 2025.