Goodwin, Jessica Leigh
Goodwin, Jessica Leigh is an individual health care provider with primary practice located at 130 Columbus Ave , Port Chester NY 10573-3040. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodwin, Jessica Leigh can be contacted via phone (914) 980-6277.Contact Information
Primary practice address
130 Columbus Ave
Port Chester NY 10573-3040
Phone: (914) 980-6277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089520 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089514 | New York |
Profile Details
| NPI number | 1811318090 |
|---|---|
| LBN Legal business name | Goodwin, Jessica Leigh |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2013 |
| Last updated | Sep 1st, 2020 - about 6 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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