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General NPI Number Information
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NPI Number | 1174499859
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Entity Type | Individual
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Provider Name | KIMBERLY MERCEDES WEST LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 655 NEW YORK AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20001-4593
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Country | US
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Telephone | 202-655-9351
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Fax |
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Provider Business Mailing Address
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Address Line | 7053 SPRING PL NW
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City | WASHINGTON
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State | DC
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Zip | 20012-2098
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Country | US
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Telephone |
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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 | LC200003972
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License Number State | DC
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