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General NPI Number Information
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NPI Number | 1649314469
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Entity Type | Individual
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Provider Name | SANDY L HUMPHREYS MSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 06/08/2025
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Provider Practice Location Address
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Address Line | 16359 SUSSEX HWY
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City | BRIDGEVILLE
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State | DE
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Zip | 19933-2966
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Country | US
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Telephone | 302-337-7990
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Fax |
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Provider Business Mailing Address
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Address Line | 513 DRUID HILL AVE
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City | SALISBURY
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State | MD
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Zip | 21801-6803
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Country | US
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Telephone | 410-430-4843
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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 | 31754
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License Number State | MD
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