Scantlebury, Michelle

Scantlebury, Michelle is an sole proprietor health care provider with primary practice located at 21 Georgia St , Valley Stream NY 11580-2224. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Scantlebury, Michelle can be contacted via phone (718) 415-2678.

Contact Information

Primary practice address
21 Georgia St Valley Stream NY 11580-2224
Phone: (718) 415-2678
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 080914 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1033448535
LBN Legal business name Scantlebury, Michelle
Credentials LCSWR, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2009
Last updated Oct 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033448535 NPPES
New York MEDICAID 01013818

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