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General NPI Number Information
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NPI Number | 1093118143
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Entity Type | Individual
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Provider Name | LORI A CRAGAN LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 63C SOCKANOSSET CROSS RD
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City | CRANSTON
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State | RI
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Zip | 02920-5536
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Country | US
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Telephone | 401-307-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 21 GEORGE ST
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City | CRANSTON
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State | RI
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Zip | 02905-3613
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Country | US
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Telephone | 401-639-4763
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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 |
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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 | ISW02528
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License Number State | RI
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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 | CSW01520
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License Number State | RI
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