Damico, Katelynn
Damico, Katelynn is an sole proprietor health care provider with primary practice located at 475 E Main St Ste 100 , East Patchogue NY 11772-3121. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Damico, Katelynn can be contacted via phone (631) 286-8282.Contact Information
Primary practice address
475 E Main St Ste 100
East Patchogue NY 11772-3121
Phone: (631) 286-8282
Fax: (631) 438-0882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 101061 | New York |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 095564 | New York |
Profile Details
| NPI number | 1316347651 |
|---|---|
| LBN Legal business name | Damico, Katelynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2014 |
| Last updated | Jun 7th, 2024 - 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.
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