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General NPI Number Information
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NPI Number | 1336077643
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Entity Type | Organization
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Legal Business Name | NORTH STAR LICENSED CLINICAL SOCIAL WORKER GROUP, PC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 8721 W SUNSET BLVD STE 204
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2272
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Country | US
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Telephone | 646-413-9416
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Fax |
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Provider Business Mailing Address
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Address Line | 8770 SHOREHAM DR APT 12
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2200
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Country | US
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Telephone | 646-413-9416
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY A ROBINSON
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Credential | LCSW
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Telephone | 646-413-9416
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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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