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General NPI Number Information
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NPI Number | 1447709936
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Entity Type | Individual
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Provider Name | SUMMER NICOLE DE LA CRUZ LICSW
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Gender | Female
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1110 SAXTON DR
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City | FREDERICK
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State | MD
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Zip | 21702-6815
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Country | US
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Telephone | 571-263-6694
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 SAXTON DR
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City | FREDERICK
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State | MD
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Zip | 21702-6815
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Country | US
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Telephone | 571-263-6694
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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 | LC50079433
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License Number State | DC
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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 | 19597
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License Number State | MD
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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 | 0904009450
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License Number State | VA
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