Gilde, Jacquelyn M.

Gilde, Jacquelyn M. is an individual health care provider with primary practice located at 550 Montauk Hwy , Shirley NY 11967-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gilde, Jacquelyn M. can be contacted via phone (631) 852-1070.

Contact Information

Primary practice address
550 Montauk Hwy Shirley NY 11967-2114
Fax: (631) 852-1119
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088794 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 085743 New York

Profile Details

NPI number 1184068066
LBN Legal business name Gilde, Jacquelyn M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2013
Last updated Apr 30th, 2024 - about 8 months 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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