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Contact Information

JOY M GOOTKIN, LCSW
14 REDWOOD LN
SOUTH SETAUKET, NY11720-1431
 Phone: 631-696-8006
 Fax: 631-696-8006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JOY M GOOTKIN · (Female)

NPI Number 1184719833
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 073244-1
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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