Goscinski, Jennifer Hudson

Goscinski, Jennifer Hudson is an sole proprietor health care provider with primary practice located at 7531 S Virginia Dare Trl Suite 3A, Nags Head NC 27959-9162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goscinski, Jennifer Hudson can be contacted via phone (252) 489-9127.

Contact Information

Primary practice address
7531 S Virginia Dare Trl Suite 3A Nags Head NC 27959-9162
Phone: (252) 489-9127
Fax: (252) 480-3127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005915 North Carolina

Profile Details

NPI number 1689850174
LBN Legal business name Goscinski, Jennifer Hudson
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2008
Last updated Apr 9th, 2008 - about 16 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 1689850174 NPPES
North Carolina MEDICAID 6106866

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