Kostenbader, Shayna

Kostenbader, Shayna is an sole proprietor health care provider with primary practice located at 146 Pike St , Port Jervis NY 12771-1808. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kostenbader, Shayna can be contacted via phone (845) 858-1456.

Contact Information

Primary practice address
146 Pike St Port Jervis NY 12771-1808
Phone: (845) 858-1456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 109841-01 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 096872 New York

Profile Details

NPI number 1447806195
LBN Legal business name Kostenbader, Shayna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2019
Last updated Apr 9th, 2024 - about 5 months 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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