Deweerdt, Ellen

Deweerdt, Ellen is an individual health care provider with primary practice located at 400 Montauk Highway Suite 114, West Islip NY 11795. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Deweerdt, Ellen can be contacted via phone (631) 321-1221.

Contact Information

Primary practice address
400 Montauk Highway Suite 114 West Islip NY 11795
Phone: (631) 321-1221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 0364981 New York

Profile Details

NPI number 1508078106
LBN Legal business name Deweerdt, Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 19 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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