Edwards, Kenneth

Edwards, Kenneth is an sole proprietor health care provider with primary practice located at 500 Montauk Hwy Ste M , West Islip NY 11795-4419. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Edwards, Kenneth can be contacted via phone (631) 766-6014.

Contact Information

Primary practice address
500 Montauk Hwy Ste M West Islip NY 11795-4419
Phone: (631) 766-6014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X RO36605-01 New York

Profile Details

NPI number 1982796793
LBN Legal business name Edwards, Kenneth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2006
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.

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