Gesino, Jack P

Gesino, Jack P is an sole proprietor health care provider with primary practice located at 295 Washington Ave Suite 5N, Hamden CT 06518-3025. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gesino, Jack P can be contacted via phone (203) 248-5787.

Contact Information

Primary practice address
295 Washington Ave Suite 5N Hamden CT 06518-3025
Phone: (203) 248-5787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001851 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1932185097
LBN Legal business name Gesino, Jack P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Nov 14th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932185097 NPPES
Connecticut MEDICAID 001145368

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