Mccormack, Benjamin
Mccormack, Benjamin is an individual health care provider with primary practice located at 4 Wyndon Rd , Ballston Lake NY 12019-2527. 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. Mccormack, Benjamin can be contacted via phone (518) 952-9206.Contact Information
Primary practice address
4 Wyndon Rd
Ballston Lake NY 12019-2527
Phone: (518) 952-9206
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 098010 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089257 | New York |
Profile Details
| NPI number | 1629587266 |
|---|---|
| LBN Legal business name | Mccormack, Benjamin |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2017 |
| Last updated | Dec 14th, 2021 - about 5 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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