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General NPI Number Information
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NPI Number | 1255162889
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Entity Type | Organization
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Legal Business Name | NEAL SANTACRUZ LCSW PLLC
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 4601 GREENPOINT AVE APT 2C
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City | SUNNYSIDE
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State | NY
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Zip | 11104-1786
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Country | US
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Telephone | 917-957-6958
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 GREENPOINT AVE APT 2C
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City | SUNNYSIDE
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State | NY
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Zip | 11104-1786
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Country | US
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Telephone | 917-957-6958
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NEAL SANTACRUZ
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Credential | LCSW
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Telephone | 917-957-6958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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