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General NPI Number Information
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NPI Number | 1205718269
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Entity Type | Organization
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Legal Business Name | PEACE OF MIND THERAPY-LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1331 W AVENUE J STE 102
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City | LANCASTER
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State | CA
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Zip | 93534-2946
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Country | US
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Telephone | 661-461-8264
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 VALIANT ST
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City | LANCASTER
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State | CA
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Zip | 93534-1458
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Country | US
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Telephone | 323-570-6704
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER/THERAPIST
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Name | DANIEL CALDERON
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Credential | LCSW
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Telephone | 661-461-8264
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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 |
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License Number State |
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