Kelly, Jaime

Kelly, Jaime is an individual health care provider with primary practice located at 460 S Fulton Ave , Lindenhurst NY 11757-5456. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Kelly, Jaime can be contacted via phone (631) 708-7765.

Contact Information

Primary practice address
460 S Fulton Ave Lindenhurst NY 11757-5456
Phone: (631) 708-7765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 112798 New York

Profile Details

NPI number 1659030047
LBN Legal business name Kelly, Jaime
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2021
Last updated Dec 13th, 2021 - about 4 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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