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General NPI Number Information
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NPI Number | 1477630085
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Entity Type | Individual
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Provider Name | CAROLYN SOUZA LICSW
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 2974 E MAIN RD
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City | PORTSMOUTH
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State | RI
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Zip | 02871-4232
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Country | US
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Telephone | 401-293-5790
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Fax |
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Provider Business Mailing Address
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Address Line | 112 JOHN DUGGAN RD
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City | TIVERTON
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State | RI
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Zip | 02878-1555
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Country | US
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Telephone | 401-625-5997
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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 | CSW01000
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License Number State | RI
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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 | ISW01968
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License Number State | RI
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