Gebhardt, Kaitlin
Gebhardt, Kaitlin is an sole proprietor health care provider with primary practice located at 49 Lilac Rd , Westhampton Beach NY 11978-2008. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gebhardt, Kaitlin can be contacted via phone (631) 831-5489.Contact Information
Primary practice address
49 Lilac Rd
Westhampton Beach NY 11978-2008
Phone: (631) 831-5489
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 092146 | New York |
Profile Details
| NPI number | 1235671058 |
|---|---|
| LBN Legal business name | Gebhardt, Kaitlin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2016 |
| Last updated | Nov 16th, 2021 - about 3 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 | 1235671058 | NPPES |
| New York | MEDICAID | 1235671058 |
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