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General NPI Number Information
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NPI Number | 1376432914
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Entity Type | Organization
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Legal Business Name | MENDING PIECES THERAPY GROUP, LICENSED CLINICAL SOCIAL WORKER CORP
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 4900 CALIFORNIA AVE STE 210B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7080
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Country | US
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Telephone | 661-477-2123
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Fax |
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Provider Business Mailing Address
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Address Line | 4725 PANAMA LN STE D3-205
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City | BAKERSFIELD
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State | CA
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Zip | 93313-3404
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAUREN DEAN
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Credential |
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Telephone | 661-343-8643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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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 |
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License Number State |
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