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General NPI Number Information
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NPI Number | 1396987285
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Entity Type | Individual
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Provider Name | AMANDA COLLETTE DZIADOSZ LCSW, CAADC, SSW
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Gender | Female
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 8 CADILLAC DR STE 410
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-493-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CADILLAC DR STE 410
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-493-8959
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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 | 6801085968
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 000591153
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 200876
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License Number State | MI
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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 | 5680
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License Number State | TN
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