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General NPI Number Information
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NPI Number | 1659889178
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Entity Type | Individual
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Provider Name | STEPHEN ANTONE KRICK LSW
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Gender | Male
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 690 DIXIE HWY
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City | ROSSFORD
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State | OH
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Zip | 43460-1221
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Country | US
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Telephone | 567-312-4722
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Fax |
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Provider Business Mailing Address
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Address Line | 445 E DUBLIN GRANVILLE RD
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City | WORTHINGTON
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State | OH
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Zip | 43085-3192
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Country | US
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Telephone | 614-844-3800
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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 | S.1701385
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License Number State | OH
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