MR. JACK ALAN MINE M.S.W.
NPI 1427144633
Social Worker - Clinical in Quincy, MA

NPI Status: Active since October 05, 2006

Contact Information

460 QUINCY AVE
COMMUNITY OUTPATIENT SERVICES/SSMH
QUINCY, MA
ZIP 02169
Phone: (617) 774-6090
Fax: (617) 770-3749

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  • Individual
  • Male
  • Social Worker
  • Clinical

About JACK MINE

This page provides the complete NPI Profile along with additional information for Jack Mine, a provider established in Quincy, Massachusetts with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1427144633 assigned on October 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 105387 (MA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1427144633
Provider Name
MR. JACK ALAN MINE M.S.W.
Gender
Male
Entity Type
Individual
Location Address
460 QUINCY AVE COMMUNITY OUTPATIENT SERVICES/SSMH QUINCY, MA 02169
Location Phone
(617) 774-6090
Location Fax
(617) 770-3749
Mailing Address
460 QUINCY AVE COMMUNITY OUTPATIENT SERVICES/SSMH QUINCY, MA 02169
Mailing Phone
(617) 774-6090
Mailing Fax
(617) 770-3749
Is Sole Proprietor?
No
Enumeration Date
10-05-2006
Last Update Date
07-08-2007
Code Navigator

A clinical social worker like Jack Mine is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
105387
License State
MA
Taxonomy Description
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427144633
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244724866
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 4 + 8 + 6 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1427144633 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

THE COMMONWEALTH OF MASSACHUSETTS

Psychiatric Hospital

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 626-9002

DR. VICTORIA ANNE SHEA M.D.

Psychiatry & Neurology

(Psychiatry)

460 QUINCY AVE
INPATIENT UNIT
QUINCY, MA
ZIP 02169

(617) 626-9058

KATHLEEN M SINAR RN/PC

Clinical Nurse Specialist

(Psychiatric/Mental Health, Adult)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 847-1950

RICHARD N REINER M.D.

Psychiatry & Neurology

(Psychiatry)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 847-1950

DELLA LEAH KAPLAN RN/PC

Clinical Nurse Specialist

(Psychiatric/Mental Health, Adult)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 847-1950

JOAN ROSENSON LICSW

Social Worker

(Clinical)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 847-1950

MISS KIMBERLY ANN BANOVIC LCSW

Social Worker

(Clinical)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 689-2532

LANI JEANNE NICHOLSON M.D.

Psychiatry & Neurology

(Psychiatry)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 847-1950

MR. ROBERT NEVENS GIBSON MSW

Social Worker

(Clinical)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 774-6047

DR. SUSAN RUE WILSON ED.D.

Psychologist

(Clinical Child & Adolescent)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 774-6070

MRS. CAROL RENAUD LICSW

Social Worker

(Clinical)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 689-2536

KERRI A MILLIGAN

Social Worker

(Clinical)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 774-6064

MS. MELISSA LESLEY MENGEL LMHC

Counselor

(Mental Health)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 774-6009

MS. KRISTEN CHERYL WOODBURY LMHC

Counselor

(Mental Health)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 774-6036

DR. JANICE ANN DAVIDOWICZ PH.D.

Psychologist

(Clinical)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 774-6006

MS. MICHELE BLANCHE SZYMANCZYK M.ED., LMHC

Counselor

(Mental Health)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 689-2519

MRS. LYNETTE TERESE HUGHES MSED

Counselor

(Mental Health)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 774-6033

LAURA GOLDFARB LICSW

Counselor

(Mental Health)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 689-2507

ROSE ANN NONE OLMSTEAD LICSW

Social Worker

(Clinical)

460 QUINCY AVE
CRISIS TEAM
QUINCY, MA
ZIP 02169

(617) 774-6036

MS. HOLLY LYNN SODERSTROM LMHC

Counselor

(Mental Health)

460 QUINCY AVE
QUINCY, MA
ZIP 02169

(617) 689-2516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427144633, enumerated as an "individual" on October 05, 2006.

The provider is located at 460 QUINCY AVE COMMUNITY OUTPATIENT SERVICES/SSMH QUINCY, MA 02169 and the phone number is (617) 774-6090.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.