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General NPI Number Information
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NPI Number | 1659701654
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Entity Type | Individual
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Provider Name | AMANDA SUE EMERSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/13/2013
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1830 SHERMAN AVE STE 401
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City | EVANSTON
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State | IL
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Zip | 60201-3774
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Country | US
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Telephone | 847-852-7496
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Fax | 870-206-8213
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Provider Business Mailing Address
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Address Line | 1830 SHERMAN AVE STE 401
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City | EVANSTON
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State | IL
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Zip | 60201-3774
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Country | US
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Telephone | 847-852-7496
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Fax | 870-206-8213
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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 | 149.028662
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License Number State | IL
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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 | 8606-C
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License Number State | AR
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