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General NPI Number Information
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NPI Number | 1255716239
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Entity Type | Individual
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Provider Name | ERICA MICHELLE SCANNELL LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 21 E WHEELWRIGHT ST
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City | ALLYN
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State | WA
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Zip | 98524-7787
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Country | US
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Telephone | 717-500-1831
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 MOSSY ROCK DR
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City | SUMMERVILLE
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State | SC
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Zip | 29485-7878
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Country | US
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Telephone | 540-290-9405
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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 | CSW008981
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW024198
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60970339
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW132408
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 014032
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14702
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License Number State | SC
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