Woodson White, Alice Miriam Marjorie

Woodson White, Alice Miriam Marjorie is an sole proprietor health care provider with primary practice located at 249 Main St Ste 2 , Setauket NY 11733-2919. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Woodson White, Alice Miriam Marjorie can be contacted via phone (631) 675-9494.

Contact Information

Primary practice address
249 Main St Ste 2 Setauket NY 11733-2919
Phone: (631) 675-9494
Fax: (631) 675-9494
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 73-081011 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 73-081011 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29000 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 074544-1 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 074544-1 New York

Profile Details

NPI number 1881872752
LBN Legal business name Woodson White, Alice Miriam Marjorie
Credentials LCSW-R, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2008
Last updated Jun 17th, 2022 - about 3 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 1881872752 NPPES
New York MEDICAID 03042968

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