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General NPI Number Information
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NPI Number | 1609218817
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Entity Type | Individual
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Provider Name | LAKEASHA PITTMAN MSW
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Gender | Female
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1647 WILLOW PASS RD # 512
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City | CONCORD
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State | CA
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Zip | 94520-2611
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Country | US
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Telephone | 925-326-1835
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Fax |
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Provider Business Mailing Address
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Address Line | 982 MISSION ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-2911
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Country | US
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Telephone | 510-717-1664
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 84901
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 107212
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License Number State | CA
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