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Contact Information

JOSE VARGAS, LCSW, CASAC
14 MILL DR
MASTIC BEACH, NY11951-1803
 Phone: 631-745-8205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JOSE VARGAS · (Male)

NPI # 1174727440
Status Active
Credentials LCSW, CASAC
Entity Individual
Enumeration date 06/12/2007
Last updated 10/23/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 078403-1
  • NY License # 16811
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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