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General NPI Number Information
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NPI Number | 1538049465
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Entity Type | Individual
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Provider Name | NICOLE HASENBERG MSW, LSWAIC, MPH
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Gender | Female
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2719 E MADISON ST STE 300
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City | SEATTLE
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State | WA
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Zip | 98112-4752
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Country | US
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Telephone | 206-669-4336
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Fax |
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Provider Business Mailing Address
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Address Line | 2024 E HOWE ST
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City | SEATTLE
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State | WA
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Zip | 98112-2944
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Country | US
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Telephone | 206-669-4336
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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 | SWIA.SC.70022608
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License Number State | WA
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