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General NPI Number Information
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NPI Number | 1376978445
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Entity Type | Individual
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Provider Name | ANDREA MARIE LIEBHART LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | PO BOX 84
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City | CARROLLTON
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State | MO
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Zip | 64633-0084
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Country | US
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Telephone | 660-631-8752
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84
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City | CARROLLTON
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State | MO
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Zip | 64633-0084
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Country | US
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Telephone | 660-631-8752
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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 | 7783
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License Number State | TN
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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 | 22756
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License Number State | AZ
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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 | 09923280
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2020022757
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4490
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License Number State | HI
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