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General NPI Number Information
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NPI Number | 1326570706
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Entity Type | Individual
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Provider Name | JOANNA MICHAELS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 8300 CONSTITUTION AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7613
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Country | US
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Telephone | 505-291-2134
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Fax | 505-291-2967
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Provider Business Mailing Address
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Address Line | PO BOX 26666
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City | ALBUQUERQUE
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State | NM
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Zip | 87125-6666
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Country | US
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Telephone | 505-291-2134
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Fax | 505-291-2967
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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 | 60954
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License Number State | TX
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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 | 4330
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License Number State | HI
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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 | SWB-2022-0114
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License Number State | NM
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