Luckman, Jean B

Luckman, Jean B is an sole proprietor health care provider with primary practice located at 1037 W Yosemite Ave # 4, Merced CA 95348-2186. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Luckman, Jean B can be contacted via phone (209) 385-3560.

Contact Information

Primary practice address
1037 W Yosemite Ave # 4 Merced CA 95348-2186
Phone: (209) 385-3560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS 16379

Profile Details

NPI number 1871645143
LBN Legal business name Luckman, Jean B
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Aug 20th, 2013 - about 13 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 1871645143 NPPES
California MEDICAID CSW016379
California Other P00160138

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