White, Caryn

White, Caryn is an individual health care provider with primary practice located at 595 W Main St , Watertown NY 13601-1335. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Caryn can be contacted via phone (315) 788-1530.

Contact Information

Primary practice address
595 W Main St Watertown NY 13601-1335
Phone: (315) 788-1530
Fax: (315) 788-3794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079604 New York

Profile Details

NPI number 1326295809
LBN Legal business name White, Caryn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated May 20th, 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 1326295809 NPPES
New York MEDICAID 02996752

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