Davis, Carol N

Davis, Carol N is an individual health care provider with primary practice located at 450 Seaview Ave , Staten Island NY 10305-3401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Carol N can be contacted via phone (718) 226-8912.

Contact Information

Primary practice address
450 Seaview Ave Staten Island NY 10305-3401
Phone: (718) 226-8912
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SC10170 New Jersey

Profile Details

NPI number 1871567453
LBN Legal business name Davis, Carol N
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871567453 NPPES
New York MEDICAID 00832900

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