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NPI 1457349904

NPI 1457349904 : MICHAEL LOUIS CASTALDI LICSW : MIDDLETOWN, RI

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General NPI Number Information
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    NPI Number           |    1457349904
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL LOUIS CASTALDI LICSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2005
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    747 AQUIDNECK AVE 
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    City                 |    MIDDLETOWN
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    State                |    RI
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    Zip                  |    02842-7265
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    Country              |    US
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    Telephone            |    401-847-8040
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    Fax                  |    401-846-9933
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Provider Business Mailing Address
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    Address Line         |    1 CHAMPLIN PL 
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    City                 |    NEWPORT
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    State                |    RI
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    Zip                  |    02840-2810
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    Country              |    US
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    Telephone            |    401-847-8040
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    Fax                  |    401-846-9933
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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       |    IISW00057
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    License Number State |    RI
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