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General NPI Number Information
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NPI Number | 1184810863
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Entity Type | Individual
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Provider Name | MARGARET ANNE DECARLIS LSCSW, LCSW-C, LISW
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 1594 WELLINGSHIRE ST NE
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City | CANTON
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State | OH
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Zip | 44721-2042
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Country | US
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Telephone | 913-982-6250
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Fax |
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Provider Business Mailing Address
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Address Line | 1594 WELLINGSHIRE ST NE
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City | CANTON
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State | OH
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Zip | 44721-2042
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Country | US
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Telephone | 913-982-6250
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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 | LSCSW4892
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License Number State | KS
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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 | I.2304778
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2018043959
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 07007
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License Number State | MD
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