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General NPI Number Information
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NPI Number | 1235926692
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Entity Type | Individual
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Provider Name | CELIESE DANIELLE FLITCROFT MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1127 ROUTE 47 S STE 9
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City | RIO GRANDE
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State | NJ
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Zip | 08242-1609
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Country | US
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Telephone | 609-486-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 19 CRANEFLY CIR
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City | NORTH CAPE MAY
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State | NJ
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Zip | 08204-4465
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Country | US
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Telephone | 609-224-7054
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Fax | 609-224-7054
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL07057700
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License Number State | NJ
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