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General NPI Number Information
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NPI Number | 1568845352
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Entity Type | Individual
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Provider Name | CAITLAIN MARIE ROBERTS LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 123 W 1ST NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-4634
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Country | US
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Telephone | 402-366-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 BRITT LN
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City | MORRISTOWN
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State | TN
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Zip | 37814-2146
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Country | US
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Telephone | 402-366-6444
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10546
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6986
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License Number State | NE
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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 | 11232
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License Number State | TN
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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 | LSW7670
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License Number State | TN
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