Persons, Kathryn Jane

Persons, Kathryn Jane is an individual health care provider with primary practice located at 825 Diligence Dr Ste 206 , Newport News VA 23606-4272. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Persons, Kathryn Jane can be contacted via phone (757) 310-6900.

Contact Information

Primary practice address
825 Diligence Dr Ste 206 Newport News VA 23606-4272
Phone: (757) 310-6900
Fax: (757) 240-5936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 107865 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904008085 Virginia

Profile Details

NPI number 1366597254
LBN Legal business name Persons, Kathryn Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 21st, 2022 - about 2 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 1366597254 NPPES
Massachusetts MEDICAID 1898906
Massachusetts Other P07340

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