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General NPI Number Information
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NPI Number | 1639592058
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Entity Type | Individual
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Provider Name | SHENAY BROWN LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 74 PLAINFIELD AVE
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City | MALDEN
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State | MA
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Zip | 02148-4510
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Country | US
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Telephone | 857-234-2049
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Fax |
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Provider Business Mailing Address
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Address Line | 165 MIDDLESEX AVE # 1012
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City | SOMERVILLE
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State | MA
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Zip | 02145-1105
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Country | US
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Telephone | 617-380-3173
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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 | LICSW124245
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License Number State | MA
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