Kassick, Kevin

Kassick, Kevin is an individual health care provider with primary practice located at 305 Roseberry St Suite 8, Phillipsburg NJ 08865-1600. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kassick, Kevin can be contacted via phone (908) 454-7244.

Contact Information

Primary practice address
305 Roseberry St Suite 8 Phillipsburg NJ 08865-1600
Fax: (908) 859-2109
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00056808 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00042400 New Jersey

Profile Details

NPI number 1902882491
LBN Legal business name Kassick, Kevin
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 19 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 1902882491 NPPES
New Jersey Other P3440976 OXFORD

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