Stone, Edie Laine

Stone, Edie Laine is an individual health care provider with primary practice located at 936 West Main St. , Merced CA 95340. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stone, Edie Laine can be contacted via phone (209) 383-5200.

Contact Information

Primary practice address
936 West Main St. Merced CA 95340
Phone: (209) 383-5200
Fax: (209) 383-5700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X RC00041301 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4874-LCSW Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X 36992 California

Profile Details

NPI number 1255485751
LBN Legal business name Stone, Edie Laine
Credentials ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Nov 6th, 2014 - about 10 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 1255485751 NPPES
Oregon MEDICAID 600646725
Oregon Other R162174

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