Golden, Judith Leers
Golden, Judith Leers is an sole proprietor health care provider with primary practice located at 62 Main St. , Vineyard Haven MA 02568. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Golden, Judith Leers can be contacted via phone (914) 391-9123.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 071780 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 115291 | Massachusetts |
Profile Details
| NPI number | 1164474219 |
|---|---|
| LBN Legal business name | Golden, Judith Leers |
| Credentials | LICSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Oct 29th, 2010 - about 14 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 | 1164474219 | NPPES |
| New York | Other | 071780 | NYS LCSW LICENSE # |
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