Hislop, James Marlow

Hislop, James Marlow is an sole proprietor health care provider with primary practice located at 939 Route 146 Ste 210, Clifton Park NY 12065. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hislop, James Marlow can be contacted via phone (518) 577-8367.

Contact Information

Primary practice address
939 Route 146 Ste 210 Clifton Park NY 12065
Phone: (518) 577-8367
Fax: (518) 280-1893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X PR0194001 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR019400-1 New York

Profile Details

NPI number 1194835272
LBN Legal business name Hislop, James Marlow
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jan 20th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194835272 NPPES
New York MEDICAID 02846591

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