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General NPI Number Information
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NPI Number | 1215317748
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Entity Type | Organization
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Legal Business Name | CASTLE COUNSELING LCSW PC
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 75 LONGFELLOW DR
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City | KINGS PARK
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State | NY
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Zip | 11754-2344
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Country | US
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Telephone | 516-313-2899
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Fax |
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Provider Business Mailing Address
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Address Line | 75 LONGFELLOW DR
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City | KINGS PARK
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State | NY
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Zip | 11754-2344
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Country | US
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Telephone | 516-313-2899
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREA L PAPP
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Credential | LCSW
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Telephone | 516-313-2899
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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 | 083034-1
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License Number State | NY
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