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General NPI Number Information
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NPI Number | 1619756061
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Entity Type | Organization
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Legal Business Name | LISA STEKERT LCSW LICENSED CLINICAL SOCIAL WORKER INC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 600 N LAKE BLVD STE M
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City | TAHOE CITY
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State | CA
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Zip | 96145-2274
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Country | US
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Telephone | 530-580-8008
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 573
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City | CARNELIAN BAY
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State | CA
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Zip | 96140-0573
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Country | US
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Telephone | 530-580-8008
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA STEKERT
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Credential | LCSW
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Telephone | 530-580-8008
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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 |
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License Number State |
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