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General NPI Number Information
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NPI Number | 1164231296
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Entity Type | Individual
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Provider Name | ANGELA STEWART LSW
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 6404 ROOSEVELT BLVD STE D
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City | PHILADELPHIA
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State | PA
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Zip | 19149-2943
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Country | US
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Telephone | 215-223-7796
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Fax |
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Provider Business Mailing Address
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Address Line | 239 4TH AVE STE 1401
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City | PITTSBURGH
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State | PA
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Zip | 15222-1715
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Country | US
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Telephone | 267-223-7796
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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 | SW140265
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License Number State | PA
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