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General NPI Number Information
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NPI Number | 1366021487
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Entity Type | Individual
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Provider Name | SHERIESE BONE LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 212 N 2ND ST STE 100
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City | RICHMOND
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State | KY
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Zip | 40475-1408
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Country | US
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Telephone | 502-625-5089
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Fax |
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Provider Business Mailing Address
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Address Line | 3058 BARDSTOWN RD # 1102
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City | LOUISVILLE
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State | KY
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Zip | 40205-3020
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Country | US
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Telephone | 502-625-5089
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 252799
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License Number State | KY
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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 | 256269
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License Number State | KY
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