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
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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.

NPI Name / Type Taxonomy Address
1407884059THE COMMONWEALTH OF MASSACHUSETTS
Organization
Psychiatric Hospital460 QUINCY AVE
QUINCY, MA 02169
(617) 626-9002
1760415509DR. VICTORIA ANNE SHEA M.D.
Individual
Psychiatry & Neurology (Psychiatry)460 QUINCY AVE INPATIENT UNIT
QUINCY, MA 02169
(617) 626-9058
1649295957 KATHLEEN M SINAR RN/PC
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)460 QUINCY AVE
QUINCY, MA 02169
(617) 847-1950
1639194947 RICHARD N REINER M.D.
Individual
Psychiatry & Neurology (Psychiatry)460 QUINCY AVE
QUINCY, MA 02169
(617) 847-1950
1023038643 DELLA LEAH KAPLAN RN/PC
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)460 QUINCY AVE
QUINCY, MA 02169
(617) 847-1950
1417977422 JOAN ROSENSON LICSW
Individual
Social Worker (Clinical)460 QUINCY AVE
QUINCY, MA 02169
(617) 847-1950
1386664142MISS KIMBERLY ANN BANOVIC LCSW
Individual
Social Worker (Clinical)460 QUINCY AVE
QUINCY, MA 02169
(617) 689-2532
1275542920 LANI JEANNE NICHOLSON M.D.
Individual
Psychiatry & Neurology (Psychiatry)460 QUINCY AVE
QUINCY, MA 02169
(617) 847-1950
1801808233MR. ROBERT NEVENS GIBSON MSW
Individual
Social Worker (Clinical)460 QUINCY AVE
QUINCY, MA 02169
(617) 774-6047
1417061730DR. SUSAN RUE WILSON ED.D.
Individual
Psychologist (Clinical Child & Adolescent)460 QUINCY AVE
QUINCY, MA 02169
(617) 774-6070
1700988581MRS. CAROL RENAUD LICSW
Individual
Social Worker (Clinical)460 QUINCY AVE
QUINCY, MA 02169
(617) 689-2536
1639273139 KERRI A MILLIGAN
Individual
Social Worker (Clinical)460 QUINCY AVE
QUINCY, MA 02169
(617) 774-6064
1568568434MS. MELISSA LESLEY MENGEL LMHC
Individual
Counselor (Mental Health)460 QUINCY AVE
QUINCY, MA 02169
(617) 774-6009
1184721888MS. KRISTEN CHERYL WOODBURY LMHC
Individual
Counselor (Mental Health)460 QUINCY AVE
QUINCY, MA 02169
(617) 774-6036
1558469411DR. JANICE ANN DAVIDOWICZ PH.D.
Individual
Psychologist (Clinical)460 QUINCY AVE
QUINCY, MA 02169
(617) 774-6006
1205935038MS. MICHELE BLANCHE SZYMANCZYK M.ED., LMHC
Individual
Counselor (Mental Health)460 QUINCY AVE
QUINCY, MA 02169
(617) 689-2519
1174615967MRS. LYNETTE TERESE HUGHES MSED
Individual
Counselor (Mental Health)460 QUINCY AVE
QUINCY, MA 02169
(617) 774-6033
1124114855 LAURA GOLDFARB LICSW
Individual
Counselor (Mental Health)460 QUINCY AVE
QUINCY, MA 02169
(617) 689-2507
1447345699 ROSE ANN NONE OLMSTEAD LICSW
Individual
Social Worker (Clinical)460 QUINCY AVE CRISIS TEAM
QUINCY, MA 02169
(617) 774-6036
1942398912MS. HOLLY LYNN SODERSTROM LMHC
Individual
Counselor (Mental Health)460 QUINCY AVE
QUINCY, MA 02169
(617) 689-2516

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427144633, enumerated in the NPI registry 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

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on October 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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