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General NPI Number Information
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NPI Number | 1316230568
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Entity Type | Individual
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Provider Name | KATHERINE BRADFORD MYERS LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 2960 CAMINO DIABLO STE 105
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3945
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Country | US
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Telephone | 800-892-2695
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 CAMINO DIABLO STE 105
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3945
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Country | US
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Telephone | 800-892-2695
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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 | CW020774
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License Number State | PA
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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 | C011376
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License Number State | NC
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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 | DP00945958
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License Number State | WV
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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 | 30549
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License Number State | MN
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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 | 68642
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License Number State | TX
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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 | 089.0134182
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License Number State | VT
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4121C
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License Number State | AL
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2019028689
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61171701
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License Number State | WA
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8575-C
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License Number State | NV
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Taxonomy #11
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904010761
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License Number State | VA
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Taxonomy #12
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13279
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License Number State | SC
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Taxonomy #13
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW000000006208
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License Number State | TN
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Taxonomy #14
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 104951
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License Number State | CA
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