Gottsegen, Shelly Johnson
Gottsegen, Shelly Johnson is an sole proprietor health care provider with primary practice located at 29 College St , South Hadley MA 01075-6462. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gottsegen, Shelly Johnson can be contacted via phone (413) 536-3922.Contact Information
Primary practice address
29 College St
South Hadley MA 01075-6462
Phone: (413) 536-3922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1021856 | Massachusetts |
Profile Details
| NPI number | 1578584454 |
|---|---|
| LBN Legal business name | Gottsegen, Shelly Johnson |
| Credentials | L.I.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1578584454 | NPPES |
| Massachusetts | MEDICAID | 1852001 |
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