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General NPI Number Information
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NPI Number | 1679741045
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Entity Type | Individual
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Provider Name | TASHA ANDREA PRITCHETT LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1222 BERKLEY HILLS PASS
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City | EVANS
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State | GA
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Zip | 30809-7474
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Country | US
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Telephone | 706-312-6761
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Fax | 762-994-1947
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Provider Business Mailing Address
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Address Line | 1222 BERKLEY HILLS PASS
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City | EVANS
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State | GA
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Zip | 30809-7474
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Country | US
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Telephone | 706-312-6761
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Fax | 762-994-1947
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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 | CSW005614
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License Number State | GA
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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 | SC 60115610
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | NC10033326
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C9626
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149030576
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | RC00049019
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11376
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License Number State | SC
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