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General NPI Number Information
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NPI Number | 1376139683
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Entity Type | Individual
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Provider Name | NIYER JESSEL CABALLERO LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 4300 SHERIDAN ST APT 238
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3527
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Country | US
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Telephone | 954-793-9732
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Fax |
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Provider Business Mailing Address
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Address Line | 6428 NW LEAFMORE LN
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City | PORT ST LUCIE
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State | FL
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Zip | 34987-5851
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Country | US
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Telephone | 954-793-9732
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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 | SW25274
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License Number State | FL
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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 | 1141336
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License Number State | MA
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