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General NPI Number Information
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NPI Number | 1023832755
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Entity Type | Individual
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Provider Name | ERICKA THOMPSON LCSW-C, LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1910 TOWNE CENTRE BLVD STE 250
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3599
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Country | US
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Telephone | 202-810-2347
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 KINGS POINT RD
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-1606
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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 |
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Name |
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Credential |
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Telephone |
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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 | 27433
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200003363
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License Number State | DC
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