Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Detor, LMSW

Individual provider Clinical Social Worker · NPI 1164989505

Jessica Detor, LMSW is a Clinical Social Worker in Syracuse, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

4900 Broad Rd Physician Ofc Bldg North 3N
Syracuse, NY 13215-2265
Phone: (315) 949-1031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 068827 (NY)

Record details

NPI number1164989505
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 21, 2019
Last updated in NPPESFebruary 21, 2019

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