Gonzalez, Leticia

Gonzalez, Leticia is an individual health care provider with primary practice located at 655 E Jersey St , Elizabeth NJ 07206-1259. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gonzalez, Leticia can be contacted via phone (908) 994-7223.

Contact Information

Primary practice address
655 E Jersey St Elizabeth NJ 07206-1259
Phone: (908) 994-7223
Fax: (908) 994-7354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05394300 New Jersey

Profile Details

NPI number 1336293463
LBN Legal business name Gonzalez, Leticia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Nov 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336293463 NPPES
New Jersey MEDICAID 0021806

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