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General NPI Number Information
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NPI Number | 1003730706
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Entity Type | Organization
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Legal Business Name | YS LICENSED CLINICAL SOCIAL WORKER, INC.
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 16 N MARENGO AVE STE 418
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City | PASADENA
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State | CA
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Zip | 91101-6117
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Country | US
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Telephone | 818-925-8623
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Fax |
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Provider Business Mailing Address
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Address Line | 461 W WOODBURY RD # 541
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City | ALTADENA
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State | CA
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Zip | 91001-5407
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | YASMIN SAUDI
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Credential | LCSW
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Telephone | 818-925-8624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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