Jill N Wallace Lcsw Pllc

LBN: Jill N Wallace Lcsw Pllc
Jill N Wallace Lcsw Pllc is an health care organization with primary practice located at 15 Heath Ln , East Northport NY 11731-1912. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as the primary health care specialty. Jill N Wallace Lcsw Pllc can be contacted via phone (516) 459-0312, or through Wallace, Jill N via phone (516) 459-0312.

Contact Information

Primary practice address
15 Heath Ln East Northport NY 11731-1912
Phone: (516) 459-0312
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Jill N Licensed Clinical Social Worker (LCSW)
Phone: (516) 459-0312

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X R045832 New York

Profile Details

NPI number 1356760037
LBN Legal business name Jill N Wallace Lcsw Pllc
DBA Doing business as
Authorized official Wallace, Jill N Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2014
Last updated Jul 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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