Chiles, Mara
Chiles, Mara is an sole proprietor health care provider with primary practice located at 520 Clarendon Rd , Uniondale NY 11553-2106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Chiles, Mara can be contacted via phone (919) 931-0842.Contact Information
Primary practice address
520 Clarendon Rd
Uniondale NY 11553-2106
Phone: (919) 931-0842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | RO55834-1 | New York |
Profile Details
| NPI number | 1134761034 |
|---|---|
| LBN Legal business name | Chiles, Mara |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2019 |
| Last updated | Oct 11th, 2019 - about 7 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 | 1134761034 | NPPES |
| New York | MEDICAID | RO55834-1 |
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