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General NPI Number Information
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NPI Number | 1578987293
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Entity Type | Individual
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Provider Name | SAMANTHA BOATWRIGHT LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 7112 UPLAND GLADE
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City | TALLAHASSEE
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State | FL
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Zip | 32312-6711
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Country | US
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Telephone | 850-384-3643
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Fax |
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Provider Business Mailing Address
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Address Line | 7112 UPLAND GLADE
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City | TALLAHASSEE
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State | FL
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Zip | 32312-6711
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Country | US
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Telephone | 850-384-3643
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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 | MSW006388
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License Number State | GA
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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 | SW4928C
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSCSW-05641
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License Number State | KS
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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 | 30599
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-41553
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW022319
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW005732
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW13292
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License Number State | FL
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