Wilson, Caitlin
Wilson, Caitlin is an individual health care provider with primary practice located at 191 Bethpage Sweet Hollow Rd , Old Bethpage NY 11804-1342. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Wilson, Caitlin can be contacted via phone (516) 870-1600.Contact Information
Primary practice address
191 Bethpage Sweet Hollow Rd
Old Bethpage NY 11804-1342
Phone: (516) 870-1600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 103559-1 | New York |
Profile Details
NPI number | 1750944906 |
---|---|
LBN Legal business name | Wilson, Caitlin |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2019 |
Last updated | Jun 11th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750944906 | NPPES |
New York | MEDICAID | 11-2420547 |
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