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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306908603 | NPPES |
| California | MEDICAID | EPS004080 |
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