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General NPI Number Information
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NPI Number | 1508447467
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Entity Type | Individual
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Provider Name | JODY KATHLEEN HOWELL LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1501 SAN PEDRO DR SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-5153
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Country | US
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Telephone | 505-265-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 7116 CASA ELENA DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1154
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Country | US
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Telephone | 505-615-6318
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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 | M-12045
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License Number State | NM
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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 | SWB-2024-0331
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | B-11482
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License Number State | NM
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