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General NPI Number Information
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NPI Number | 1134365182
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Entity Type | Individual
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Provider Name | CARMEN JEAN SCHOTT LCSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 7 EAGLE CTR STE B-1
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City | O FALLON
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State | IL
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Zip | 62269-1946
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Country | US
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Telephone | 618-982-3511
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Fax | 618-726-2043
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Provider Business Mailing Address
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Address Line | 9 RACHAEL CT
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City | TROY
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State | IL
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Zip | 62294-4010
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Country | US
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Telephone | 937-956-8498
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Fax | 618-726-2043
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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 | 149.028271
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License Number State | IL
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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 | I 0700298
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License Number State | OH
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