IndividualActive
Jessica Detor, LMSW
NPI 1164989505 · Clinical Social Worker · Syracuse, NY
Jessica Detor, LMSW is a Clinical Social Worker provider in Syracuse, NY (NPI 1164989505).
Provider details
- NPI number
- 1164989505
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- License
- 068827 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4900 Broad Rd
Physician Office Building North 3n
Syracuse, NY 13215-2265
Phone: (315) 949-1031
Street-level locationGet directions
Mailing address
4900 Broad Rd
Syracuse, NY 13215-2265
Registry dates
- Enumerated
- 2019-02-21
- Last updated
- 2019-02-21
Frequently asked questions
- What is Jessica Detor's NPI number?
- Jessica Detor's National Provider Identifier (NPI) is 1164989505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Detor's specialty?
- Jessica Detor is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jessica Detor located?
- Jessica Detor's practice location on file with NPPES is 4900 Broad Rd, Syracuse, NY 13215-2265.
- What is Jessica Detor's phone number?
- The practice phone number listed in the NPPES registry for Jessica Detor is (315) 949-1031.
- Is Jessica Detor's NPI active?
- Yes — Jessica Detor's NPI (1164989505) is active in the NPPES registry as of the last update on 2019-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.