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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1881872752 | NPPES |
| New York | MEDICAID | 03042968 |
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