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General NPI Number Information
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NPI Number | 1548306475
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Entity Type | Individual
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Provider Name | STEPHANIE MCELVEEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2404 HUBBARD STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32206-2911
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Country | US
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Telephone | 904-902-2454
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Fax | 888-474-2998
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Provider Business Mailing Address
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Address Line | 2404 HUBBARD STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32206-2911
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Country | US
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Telephone | 904-902-2454
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Fax | 888-474-2998
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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 | CSW004714
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CSW004714
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License Number State | GA
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW11149
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | SW11149
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License Number State | FL
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