Delise, Denise M
Delise, Denise M is an individual health care provider with primary practice located at 37 Randell Rd , Wading River NY 11792. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Delise, Denise M can be contacted via phone (631) 838-5264.Contact Information
Primary practice address
37 Randell Rd
Wading River NY 11792
Phone: (631) 838-5264
Fax: (631) 744-0865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R0382161 | New York |
Profile Details
| NPI number | 1225174535 |
|---|---|
| LBN Legal business name | Delise, Denise M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225174535 | NPPES |
| Other | 535764 | VALUE OPTION |
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