Lent, Kenneth G

Lent, Kenneth G is an sole proprietor health care provider with primary practice located at 6 Roosevelt Ave Ste 2 , Port Jefferson Station NY 11776-3364. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lent, Kenneth G can be contacted via phone (631) 474-1533.

Contact Information

Primary practice address
6 Roosevelt Ave Ste 2 Port Jefferson Station NY 11776-3364
Phone: (631) 474-1533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 048202-1 New York

Profile Details

NPI number 1437201498
LBN Legal business name Lent, Kenneth G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated May 16th, 2019 - about 5 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 1437201498 NPPES
New York Other 205295P HIP
New York Other 092104 HIP
New York Other 140237 HIP
New York Other 561724000 HIP
New York Other P3557347 HIP
New York Other 6224668 HIP
New York Other 7336342 HIP
New York Other 60054 HIP
New York MEDICAID 02364309 HIP

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