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General NPI Number Information
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NPI Number | 1194361600
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Entity Type | Individual
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Provider Name | SHOSHANA LEVIE LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 20 WILSEY SQ
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3793
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Country | US
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Telephone | 201-409-0393
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Fax |
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Provider Business Mailing Address
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Address Line | 20 WILSEY SQ
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3793
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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 | Q5-0000192
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License Number State | DE
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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 | 125407
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License Number State | MA
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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 | 089127
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License Number State | NY
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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 | 44SC06211200
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License Number State | NJ
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