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General NPI Number Information
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NPI Number | 1184103657
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Entity Type | Individual
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Provider Name | WILLEEN CAPEHART LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/07/2018
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 175 NATE WHIPPLE HWY STE 202
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City | CUMBERLAND
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State | RI
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Zip | 02864-1423
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Country | US
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Telephone | 401-405-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 391 VARNUM AVE
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City | LOWELL
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State | MA
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Zip | 01854-2119
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Country | US
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Telephone | 401-598-7414
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 223461
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License Number State | MA
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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 | 223461
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License Number State | MA
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