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General NPI Number Information
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NPI Number | 1548489883
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Entity Type | Individual
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Provider Name | KATHLEEN RECKART MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 6 CANYON RD STE 150
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City | MORGANTOWN
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State | WV
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Zip | 26508-0028
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Country | US
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Telephone | 304-598-4433
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Fax |
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Provider Business Mailing Address
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Address Line | 30 SINE PL
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City | BRUCETON MILLS
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State | WV
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Zip | 26525-7410
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Country | US
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Telephone | 724-880-0182
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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 | CW017148
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License Number State | PA
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