Wimberly, Georgia Anne

Wimberly, Georgia Anne is an sole proprietor health care provider with primary practice located at 1200 E Main St , Endicott NY 13760-5220. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wimberly, Georgia Anne can be contacted via phone (607) 757-2171.

Contact Information

Primary practice address
1200 E Main St Endicott NY 13760-5220
Phone: (607) 757-2171
Fax: (607) 757-2535
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 061784-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 081916 New York
Behavioral Health & Social Service Providers / School 1041S0200X 162135071 New York

Profile Details

NPI number 1275853442
LBN Legal business name Wimberly, Georgia Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2010
Last updated Jun 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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