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General NPI Number Information
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NPI Number | 1043766553
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Entity Type | Individual
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Provider Name | EMILY CARLSON ECKSTEIN LCSW-C, LCSW, PMH-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 14915 BROSCHART RD
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City | ROCKVILLE
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State | MD
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Zip | 20850-3350
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Country | US
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Telephone | 301-838-4912
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Fax |
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Provider Business Mailing Address
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Address Line | 12824 GRAND ELM ST
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City | CLARKSBURG
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State | MD
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Zip | 20871-4392
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Country | US
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Telephone | 703-867-6939
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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 | 18894
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License Number State | MD
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