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General NPI Number Information
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NPI Number | 1265326755
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Entity Type | Organization
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Legal Business Name | SOCIAL WORK CONCIERGE
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 1226 PICKETT ST SE
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City | KENTWOOD
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State | MI
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Zip | 49508-4643
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Country | US
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Telephone | 616-443-7853
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 PICKETT ST SE
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City | KENTWOOD
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State | MI
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Zip | 49508-4643
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Country | US
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Telephone | 616-443-7853
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | LEONICA RILEY ERWIN
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Credential | LMSW
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Telephone | 616-443-7853
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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 |
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License Number State |
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