Ellison, Kim

Ellison, Kim is an sole proprietor health care provider with primary practice located at 2-4 Austin Court , Poughkeepsie NY 12603. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ellison, Kim can be contacted via phone (845) 392-5827.

Contact Information

Primary practice address
2-4 Austin Court Poughkeepsie NY 12603
Phone: (845) 392-5827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R07672601 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 072738-1 New York

Profile Details

NPI number 1811184500
LBN Legal business name Ellison, Kim
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2007
Last updated Apr 28th, 2020 - about 4 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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