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General NPI Number Information
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NPI Number | 1063015949
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Entity Type | Organization
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Legal Business Name | KASIA CALDWELL, LCSW, PLLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 07/27/2024
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Provider Practice Location Address
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Address Line | 801 S RANCHO DR STE E3A
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City | LAS VEGAS
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State | NV
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Zip | 89106-3812
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Country | US
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Telephone | 702-620-9354
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Fax | 702-819-9516
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Provider Business Mailing Address
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Address Line | 801 S RANCHO DR STE E3A
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City | LAS VEGAS
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State | NV
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Zip | 89106-3812
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Country | US
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Telephone | 702-620-9354
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Fax | 702-819-9516
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Authorized Official
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Title or Position | CEO
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Name | KASIA CALDWELL
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Credential | LCSW
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Telephone | 702-620-9354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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