Stone, Edie Laine
Stone, Edie Laine is an individual health care provider with primary practice located at 936 West Main St. , Merced CA 95340. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Stone, Edie Laine can be contacted via phone (209) 383-5200.Contact Information
Primary practice address
936 West Main St.
Merced CA 95340
Phone: (209) 383-5200
Fax: (209) 383-5700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | RC00041301 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4874-LCSW | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 36992 | California |
Profile Details
| NPI number | 1255485751 |
|---|---|
| LBN Legal business name | Stone, Edie Laine |
| Credentials | ACSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Nov 6th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255485751 | NPPES |
| Oregon | MEDICAID | 600646725 | |
| Oregon | Other | R162174 |
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