Kane, Edith W

Kane, Edith W is an individual health care provider with primary practice located at 815 Third Ave #209, Chula Vista CA 91911. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kane, Edith W can be contacted via phone (619) 425-0979.

Contact Information

Primary practice address
815 Third Ave #209 Chula Vista CA 91911
Phone: (619) 425-0979
Fax: (619) 425-0979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS3960 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X MFC8473 California

Profile Details

NPI number 1306908603
LBN Legal business name Kane, Edith W
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306908603 NPPES
California MEDICAID EPS004080

Popular Providers