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General NPI Number Information
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NPI Number | 1194278986
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Entity Type | Organization
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Legal Business Name | NORTHERN WESTCHESTER COUNSELING ASSOCIATES, LCSW, PLLC
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 380 ROUTE 202
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City | SOMERS
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State | NY
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Zip | 10589
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Country | US
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Telephone | 914-669-8126
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Fax |
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Provider Business Mailing Address
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Address Line | 126A HERITAGE HLS
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City | SOMERS
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State | NY
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Zip | 10589
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Country | US
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Telephone | 845-270-5469
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Fax |
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Authorized Official
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Title or Position | LCSWR
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Name | MS. ERICA CHAMBERS, LCSW
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Credential | LCSWR
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Telephone | 845-270-5469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | R044237
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R044237
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License Number State | NY
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