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General NPI Number Information
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NPI Number | 1053318204
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Entity Type | Individual
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Provider Name | MELISSA MICHELE SCHOTT LCSW LAC
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 9300 DEWITT LOOP
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City | FT BELVOIR
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State | VA
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Zip | 22060-5285
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Country | US
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Telephone | 571-432-2780
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Fax | 571-231-6762
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Provider Business Mailing Address
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Address Line | 4747 BRANT RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-3173
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Country | US
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Telephone | 719-338-7214
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Fax | 719-475-0993
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ACD-106
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License Number State | CO
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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 | CSW-218
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW-128
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License Number State | CO
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