Johannesen, Ingrid

Johannesen, Ingrid is an sole proprietor health care provider with primary practice located at 55 Stuart Ave , Amityville NY 11701-4225. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johannesen, Ingrid can be contacted via phone (631) 598-0003.

Contact Information

Primary practice address
55 Stuart Ave Amityville NY 11701-4225
Fax: (631) 598-0003
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R048607 New York

Profile Details

NPI number 1740319300
LBN Legal business name Johannesen, Ingrid
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1740319300 NPPES
New York Other P1635984 OXFORD

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