Stone, Jamelah Theresa
Stone, Jamelah Theresa is an sole proprietor health care provider with primary practice located at 119 Montowese St , Branford CT 06405-3807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stone, Jamelah Theresa can be contacted via phone (203) 535-6771.Contact Information
Primary practice address
119 Montowese St
Branford CT 06405-3807
Phone: (203) 535-6771
Fax: (888) 550-6771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006074 | Connecticut |
Profile Details
| NPI number | 1932160967 |
|---|---|
| LBN Legal business name | Stone, Jamelah Theresa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 1st, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932160967 | NPPES |
| Connecticut | MEDICAID | 0080492591 | |
| Connecticut | Other | 006074 | |
| Connecticut | Other | 11707579 | |
| Connecticut | Other | 140006074CT01 |
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