Myers, Dwight S

Myers, Dwight S is an individual health care provider with primary practice located at 1401 Richardson St , Baltimore MD 21230-5321. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Myers, Dwight S can be contacted via phone (607) 379-3050.

Contact Information

Primary practice address
1401 Richardson St Baltimore MD 21230-5321
Phone: (607) 379-3050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 28878 Maryland
Behavioral Health & Social Service Providers / Counseling 103TC1900X R0598381 New York

Profile Details

NPI number 1871682401
LBN Legal business name Myers, Dwight S
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Feb 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871682401 NPPES
New York MEDICAID 01079267

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