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General NPI Number Information
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NPI Number | 1326173766
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Entity Type | Individual
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Provider Name | DENICE J. COTTRILL-SMITH MSW, LICSW, CAC
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2121 7TH ST
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City | PARKERSBURG
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State | WV
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Zip | 26101-3803
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Country | US
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Telephone | 304-485-1721
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Fax | 304-485-6710
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Provider Business Mailing Address
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Address Line | 4700 9TH AVE
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City | VIENNA
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State | WV
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Zip | 26105-3112
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Country | US
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Telephone | 304-295-7100
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 01-102
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License Number State | WV
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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 | DP00080177
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License Number State | WV
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