Dewitt, Mary

Dewitt, Mary is an sole proprietor health care provider with primary practice located at 208 Providence Mine Rd Ste 122 , Nevada City CA 95959-2955. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dewitt, Mary can be contacted via phone (530) 470-0299.

Contact Information

Primary practice address
208 Providence Mine Rd Ste 122 Nevada City CA 95959-2955
Phone: (530) 470-0299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS18301 California

Profile Details

NPI number 1548716368
LBN Legal business name Dewitt, Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2016
Last updated Aug 31st, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548716368 NPPES
California Other 13778436 CAQH PROVIDER ID

Popular Providers