Blasius, Carissa
Blasius, Carissa is an sole proprietor health care provider with primary practice located at 139 Main St # C , Stony Brook NY 11790-1944. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blasius, Carissa can be contacted via phone (631) 875-5979.Contact Information
Primary practice address
139 Main St # C
Stony Brook NY 11790-1944
Phone: (631) 875-5979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0700391 | New York |
Profile Details
| NPI number | 1013457233 |
|---|---|
| LBN Legal business name | Blasius, Carissa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2017 |
| Last updated | Mar 7th, 2017 - about 8 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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