Spicciatie, Kim Stacey

Spicciatie, Kim Stacey is an individual health care provider with primary practice located at 153 Simmons Dr , East Islip NY 11730-3436. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Spicciatie, Kim Stacey can be contacted via phone (631) 859-0738.

Contact Information

Primary practice address
153 Simmons Dr East Islip NY 11730-3436
Phone: (631) 859-0738
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 078707 New York

Profile Details

NPI number 1679857262
LBN Legal business name Spicciatie, Kim Stacey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2011
Last updated Mar 2nd, 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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