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General NPI Number Information
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NPI Number | 1437836889
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Entity Type | Organization
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Legal Business Name | FAMILY CONNECTIONS COUNSELING SERVICES CSW, PC
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 120 KISCO AVE STE K
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1417
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Country | US
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Telephone | 914-525-2222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | ARMONK
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State | NY
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Zip | 10504-0008
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Country | US
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Telephone | 914-525-2222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELANA GREENBERG
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Credential | LCSW-R
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Telephone | 914-525-2222
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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 |
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License Number State |
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