Johnson, Kerri Samantha

Johnson, Kerri Samantha is an sole proprietor health care provider with primary practice located at 1 Ny 109 , West Babylon NY 11704-1170. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Kerri Samantha can be contacted via phone (631) 669-5355.

Contact Information

Primary practice address
1 Ny 109 West Babylon NY 11704-1170
Phone: (631) 669-5355
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1033345277
LBN Legal business name Johnson, Kerri Samantha
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2009
Last updated Aug 3rd, 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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