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General NPI Number Information
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NPI Number | 1194128504
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Entity Type | Individual
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Provider Name | RICHARD LIN WELCH LCSW, LSCSW
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Gender | Male
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Dates
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Enumeration Date | 09/29/2014
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 648 SE JONATHON AVE
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City | LEES SUMMIT
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State | MO
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Zip | 64063-3670
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Country | US
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Telephone | 660-362-0547
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Fax | 816-774-8132
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Provider Business Mailing Address
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Address Line | 648 SE JONATHON AVE
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City | LEES SUMMIT
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State | MO
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Zip | 64063-3670
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Country | US
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Telephone | 660-362-0547
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Fax | 816-774-8132
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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 | 2168
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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 | 005605
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License Number State | MO
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