Diamond, Stephen
Diamond, Stephen is an individual health care provider with primary practice located at 146 Pike St , Port Jervis NY 12771-1808. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Diamond, Stephen can be contacted via phone (845) 858-1456.Contact Information
Primary practice address
146 Pike St
Port Jervis NY 12771-1808
Phone: (845) 858-1456
Fax: (845) 858-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | R0178051 | New York |
Profile Details
| NPI number | 1780672154 |
|---|---|
| LBN Legal business name | Diamond, Stephen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| 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 | 1780672154 | NPPES |
| New York | MEDICAID | 0542503 |
Popular Providers
-
Franke, Christine
146 Pike Street , Port Jervis NY 12771 -
Kniffin, Savannah
146 Pike St , Port Jervis NY 12771-1808 -
Jackson, Jylian Ann
146 Pike Street Outpatient Clinic , Port Jervis NY 12771 -
Munz, Gloria D
146 Pike St , Port Jervis NY 12771-1808 -
Timberger, Agnes
626 Eatontown Road , Port Jervis NY 12771 -
Depasquale, Peter G
646 Main Street , Port Jefferson NY 11777 -
Roth, Leah
146 Pike St , Port Jervis NY 12771-1808 -
Kun Gomez, Krisztina
146 Pike St , Port Jervis NY 12771-1808