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General NPI Number Information
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NPI Number | 1225665755
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Entity Type | Individual
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Provider Name | CARLETTE MARIE QUINTO LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 270 LAFAYETTE ST
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City | NEW YORK
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State | NY
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Zip | 10012-3311
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Country | US
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Telephone | 310-561-4158
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Fax |
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Provider Business Mailing Address
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Address Line | 24 W 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-8971
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Country | US
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Telephone | 310-561-4158
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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 | 100294-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 096656-1
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License Number State | NY
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