Samoylov, Anna

Samoylov, Anna is an individual health care provider with primary practice located at 179 Palisade Ave , Jersey City NJ 07306-1103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Samoylov, Anna can be contacted via phone (201) 795-8126.

Contact Information

Primary practice address
179 Palisade Ave Jersey City NJ 07306-1103
Phone: (201) 795-8126
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05713800 New Jersey

Profile Details

NPI number 1497287742
LBN Legal business name Samoylov, Anna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2017
Last updated Mar 28th, 2017 - about 9 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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