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General NPI Number Information
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NPI Number | 1154799401
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Entity Type | Individual
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Provider Name | AMELIA CHAYET KIDD LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 326 W 48TH ST
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City | NEW YORK
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State | NY
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Zip | 10036-1314
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Country | US
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Telephone | 718-277-0386
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Fax |
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Provider Business Mailing Address
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Address Line | 367 20TH ST APT 8
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City | BROOKLYN
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State | NY
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Zip | 11215-6414
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Country | US
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Telephone | 201-730-2299
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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 | 089100
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License Number State | NY
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