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General NPI Number Information
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NPI Number | 1366138091
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Entity Type | Individual
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Provider Name | BRIAN GAGE WILLIAMS LCSW
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Gender | Male
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 812 S DAVID ST
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City | CASPER
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State | WY
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Zip | 82601-3736
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Country | US
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Telephone | 307-237-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 812 S DAVID ST
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City | CASPER
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State | WY
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Zip | 82601-3736
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Country | US
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Telephone | 307-237-5051
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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 | 1799
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License Number State | WY
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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 | 14250779-3501
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License Number State | UT
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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 | 09932400
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License Number State | CO
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