Scott, Christian Adam

Scott, Christian Adam is an sole proprietor health care provider with primary practice located at 118 Spring St Jefferson Academic Center, Port Jefferson NY 11777-1817. He 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 / School is his primary health care specialty. Scott, Christian Adam can be contacted via phone (631) 476-0564.

Contact Information

Primary practice address
118 Spring St Jefferson Academic Center Port Jefferson NY 11777-1817
Phone: (631) 476-0564
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 071557 New York
Behavioral Health & Social Service Providers / School 1041S0200X 071557 New York

Profile Details

NPI number 1871837922
LBN Legal business name Scott, Christian Adam
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 13 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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