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General NPI Number Information
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NPI Number | 1053695486
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Entity Type | Individual
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Provider Name | DAVID WASHINGTON LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 100 W CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-755-8619
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1923
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City | MONROVIA
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State | CA
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Zip | 91017-5923
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Country | US
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Telephone | 626-219-2948
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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 | LCSW75915
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License Number State | CA
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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 | 117537
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License Number State | TX
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