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General NPI Number Information
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NPI Number | 1154769198
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Entity Type | Individual
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Provider Name | DANIELLE HEATHER STOKELY MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 44 BUCKINGHAM DR
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City | ALBANY
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State | NY
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Zip | 12208-1307
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Country | US
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Telephone | 518-807-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 44 BUCKINGHAM DR
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City | ALBANY
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State | NY
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Zip | 12208-1307
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Country | US
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Telephone | 518-807-3089
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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 | LCSW11435
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License Number State | FL
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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 | 6801108883
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License Number State | MI
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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 | R070932
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License Number State | NY
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