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NPI 1487597472

NPI 1487597472 : WARREN DAVID PRICE LMSW, CSW, CTRS : BERRY, KY

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General NPI Number Information
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    NPI Number           |    1487597472
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    Entity Type          |    Individual 
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    Provider Name        |    WARREN DAVID PRICE LMSW, CSW, CTRS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/13/2026
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    Last Update Date     |    04/13/2026
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Provider Practice Location Address
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    Address Line         |    1884 KY HIGHWAY 1284 W 
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    City                 |    BERRY
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    State                |    KY
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    Zip                  |    41003-8700
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    Country              |    US
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    Telephone            |    801-369-3860
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1884 KY HIGHWAY 1284 W 
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    City                 |    BERRY
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    State                |    KY
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    Zip                  |    41003-8700
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    Country              |    US
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    Telephone            |    801-369-3860
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    9071269
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    License Number State |    ID
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    CSW00001011
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    License Number State |    KY
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