Kazansky, Harriet Phyllis

Kazansky, Harriet Phyllis is an sole proprietor health care provider with primary practice located at 4 Hazeltine Ln , Jackson NJ 08527-4045. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kazansky, Harriet Phyllis can be contacted via phone (917) 838-3562.

Contact Information

Primary practice address
4 Hazeltine Ln Jackson NJ 08527-4045
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05788600 New Jersey

Profile Details

NPI number 1902431612
LBN Legal business name Kazansky, Harriet Phyllis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 4 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 1902431612 NPPES
New York Other R045061-1 CLINICAL SOCIAL WORK LICENSE

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