Individual
MRS. KAITLIN GEBHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
49 LILAC RD, WESTHAMPTON BEACH, NY 11978-2008
(631) 831-5489
Mailing address
5 TULIP CT, MORICHES, NY 11955-1901
(631) 831-5489
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
092146
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235671058
—
NY
Enumeration date
11/10/2016
Last updated
11/16/2021
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