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General NPI Number Information
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NPI Number | 1386391274
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Entity Type | Individual
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Provider Name | CANDACE M RAINE LCSW, LICSW, CSW-PIP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 612 STATE ST
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City | BELLE FOURCHE
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State | SD
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Zip | 57717-1419
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Country | US
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Telephone | 307-429-2212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 384
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City | PIEDMONT
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State | SD
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Zip | 57769-0384
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Country | US
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Telephone | 307-429-2212
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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 | 3174
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License Number State | NH
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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 | CSW-PIP-6937
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License Number State | SD
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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 | LCSW-1422
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License Number State | WY
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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 | BBH-LCSW-LIC-69833
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License Number State | MT
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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 | TPSW2854
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SWI.LW.31526090
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License Number State | WA
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