Kimberling, Melissa Samples
Kimberling, Melissa Samples is an sole proprietor health care provider with primary practice located at 24 Jameson Ct , East Northport NY 11731-1629. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Kimberling, Melissa Samples can be contacted via phone (631) 754-5431.Contact Information
Primary practice address
24 Jameson Ct
East Northport NY 11731-1629
Phone: (631) 754-5431
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | RO41152-1 | New York |
Profile Details
| NPI number | 1013224336 |
|---|---|
| LBN Legal business name | Kimberling, Melissa Samples |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2010 |
| Last updated | Dec 18th, 2019 - about 6 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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