Lebens, Cornelia S.

Lebens, Cornelia S. is an sole proprietor health care provider with primary practice located at 350 Martha Ave , Bellport NY 11713-1525. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lebens, Cornelia S. can be contacted via phone (631) 286-6927.

Contact Information

Primary practice address
350 Martha Ave Bellport NY 11713-1525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R036868 New York
Behavioral Health & Social Service Providers / School 1041S0200X New York

Profile Details

NPI number 1902172984
LBN Legal business name Lebens, Cornelia S.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2012
Last updated Mar 24th, 2012 - about 12 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 1902172984 NPPES
New York Other R036868 CLINICAL SOCIAL WORK LICENSE

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