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General NPI Number Information
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NPI Number | 1447015052
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Entity Type | Organization
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Legal Business Name | KATHERINE M. CUSHING, LICSW LLC
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Dates
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Enumeration Date | 02/14/2024
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 160 OLD DERBY ST STE 338
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City | HINGHAM
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State | MA
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Zip | 02043-4062
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Country | US
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Telephone | 617-347-2752
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Fax |
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Provider Business Mailing Address
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Address Line | 497 MAIN ST
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City | HINGHAM
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State | MA
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Zip | 02043-4705
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICSW
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Name | KATHERINE CUSHING
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Credential |
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Telephone | 617-347-2752
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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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