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General NPI Number Information
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NPI Number | 1174127153
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Entity Type | Organization
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Legal Business Name | CHAMIN AJJAN PSYCHOTHERAPY, LCSW PLLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 26 COURT ST STE 1303
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City | BROOKLYN
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State | NY
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Zip | 11242-1113
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Country | US
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Telephone | 917-476-9381
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Fax |
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Provider Business Mailing Address
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Address Line | 51 HIGHLAND AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-2311
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Country | US
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Telephone | 917-476-9381
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL DIRECTOR
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Name | CHAMIN AJJAN
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Credential | LCSW
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Telephone | 917-476-9381
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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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