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General NPI Number Information
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NPI Number | 1225991870
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Entity Type | Individual
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Provider Name | BRENDA ALWINE LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 12073 TECH RD
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City | SILVER SPRING
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State | MD
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Zip | 20904-7873
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Country | US
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Telephone | 301-593-1315
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Fax |
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Provider Business Mailing Address
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Address Line | 3015 OLD ROUTE 30
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City | ORRTANNA
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State | PA
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Zip | 17353-9424
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Country | US
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Telephone | 717-357-6810
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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 | CW016150
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License Number State | PA
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