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General NPI Number Information
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NPI Number | 1467391490
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Entity Type | Organization
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Legal Business Name | CAILA FITTS NICKERSON THERAPY LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 3308 E SPRING ST
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City | SEATTLE
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State | WA
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Zip | 98122-5127
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Country | US
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Telephone | 781-558-3653
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Fax |
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Provider Business Mailing Address
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Address Line | 912 22ND AVE S
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City | SEATTLE
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State | WA
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Zip | 98144-2929
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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 | SOLE MEMBER
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Name | CAILA NICKERSON
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Credential | LICSW
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Telephone | 781-558-3653
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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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