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General NPI Number Information
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NPI Number | 1235671488
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Entity Type | Organization
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Legal Business Name | LORRAINE HURSEY DENG, LICSW, LLC
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 288 WALNUT ST STE 380
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City | NEWTONVILLE
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State | MA
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Zip | 02460-2062
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Country | US
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Telephone | 617-893-7134
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Fax |
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Provider Business Mailing Address
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Address Line | 9 BRIDGES AVE
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City | NEWTON
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State | MA
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Zip | 02460-2016
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Country | US
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Telephone | 617-893-7134
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH DENG
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Credential | LICSW
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Telephone | 617-893-7134
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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 | CSW005074
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License Number State | GA
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