Longwell Sargent, Deanna

Longwell Sargent, Deanna is an sole proprietor health care provider with primary practice located at 1068 Hudson Ave , Stillwater NY 12170-3432. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Longwell Sargent, Deanna can be contacted via phone (518) 373-6139.

Contact Information

Primary practice address
1068 Hudson Ave Stillwater NY 12170-3432
Phone: (518) 373-6139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 055777-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079556-1 New York
Behavioral Health & Social Service Providers / School 1041S0200X 903113 New York

Profile Details

NPI number 1033476882
LBN Legal business name Longwell Sargent, Deanna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2012
Last updated Apr 18th, 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 1033476882 NPPES
New York Other 550105111 CONTROL# PUBLIC SCHOOL TEACHER CERTIFICATE, (PERMANENT) SCHOOL SOCIAL WORKER 903113
New York Other 055777-1 PUBLIC SCHOOL TEACHER CERTIFICATE, (PERMANENT) SCHOOL SOCIAL WORKER 903113
New York Other 079556-1 PUBLIC SCHOOL TEACHER CERTIFICATE, (PERMANENT) SCHOOL SOCIAL WORKER 903113

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