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General NPI Number Information
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NPI Number | 1417151267
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Entity Type | Individual
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Provider Name | ANGELA LA LUZERNE LCSW, LISW, LCADC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 4949 WESTOWN PKWY STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-6704
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Country | US
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Telephone | 515-344-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 3775 EP TRUE PKWY PMB #193
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City | WEST DES MOINES
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State | IA
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Zip | 50265-7696
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Country | US
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Telephone | 702-306-0368
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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 | 33131
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License Number State | MN
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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 | LCSW-22379
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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 | SWI.LW.61660871
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11373-C
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License Number State | NV
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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 | 115987
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License Number State | TX
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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 | 106697
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License Number State | IA
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09931667
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 120292
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License Number State | CA
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