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General NPI Number Information
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NPI Number | 1659043610
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Entity Type | Individual
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Provider Name | ARIELA MORGAN ROTENGOLD LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 8737 VENICE BLVD STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90034-3258
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Country | US
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Telephone | 781-777-5286
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Fax |
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Provider Business Mailing Address
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Address Line | 8737 VENICE BLVD STE 201
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City | LOS ANGELES
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State | CA
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Zip | 90034-3258
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Country | US
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Telephone | 347-574-9418
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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 | 094213
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License Number State | NY
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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 | 119590
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 107337
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License Number State | NY
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