Gerace, Kimberly Marie
Gerace, Kimberly Marie is an individual health care provider with primary practice located at 138 N Court St , Wampsville NY 13163-0608. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gerace, Kimberly Marie can be contacted via phone (315) 366-2327.Contact Information
Primary practice address
138 N Court St
Wampsville NY 13163-0608
Phone: (315) 366-2327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 076720 | New York |
Profile Details
| NPI number | 1558528497 |
|---|---|
| LBN Legal business name | Gerace, Kimberly Marie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | May 2nd, 2012 - about 14 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 | 1558528497 | NPPES |
| New York | MEDICAID | 00569860 |
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