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General NPI Number Information
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NPI Number | 1053785287
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Entity Type | Individual
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Provider Name | TITUS WASHINGTON LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/27/2015
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 510 E STONER AVE
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City | SHREVEPORT
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State | LA
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Zip | 71101-4243
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Country | US
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Telephone | 318-221-8411
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Fax | 182-123-1193
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Provider Business Mailing Address
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Address Line | 9713 MCLEOD DR
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City | SHREVEPORT
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State | LA
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Zip | 71118-4214
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Country | US
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Telephone | 318-347-0220
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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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 | 15247
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License Number State | LA
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