Thompson-Shealy, Charles R

Thompson-Shealy, Charles R is an sole proprietor health care provider with primary practice located at 260 Kings Mall Ct # 251 , Kingston NY 12401-1574. He 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 his primary health care specialty. Thompson-Shealy, Charles R can be contacted via phone (646) 362-5194.

Contact Information

Primary practice address
260 Kings Mall Ct # 251 Kingston NY 12401-1574
Phone: (646) 362-5194
Fax: (646) 980-4704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0
Behavioral Health & Social Service Providers / Clinical 1041C0700X 087851 New York

Profile Details

NPI number 1740613322
LBN Legal business name Thompson-Shealy, Charles R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2013
Last updated Mar 2nd, 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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