Beebe, Jonathan

Beebe, Jonathan is an sole proprietor health care provider with primary practice located at 6120 Woodside Ave , Woodside NY 11377-3557. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beebe, Jonathan can be contacted via phone (718) 779-1234.

Contact Information

Primary practice address
6120 Woodside Ave Woodside NY 11377-3557
Phone: (718) 779-1234
Fax: (718) 779-7775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072042 New York

Profile Details

NPI number 1821049792
LBN Legal business name Beebe, Jonathan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821049792 NPPES
New York Other 072042 NY LCSW LICENSE #
New York Other 1285628552 NY LCSW LICENSE #
New York MEDICAID 00355940 NY LCSW LICENSE #

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