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General NPI Number Information
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NPI Number | 1710609367
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Entity Type | Individual
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Provider Name | LISA MUSSER LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1605 BLOOM RD
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City | DANVILLE
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State | PA
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Zip | 17821-8506
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Country | US
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Telephone | 570-961-3361
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Fax | 570-961-3364
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Provider Business Mailing Address
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Address Line | 515 ASH ST
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City | WATSONTOWN
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State | PA
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Zip | 17777-1101
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Country | US
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Telephone | 570-716-0771
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW138335
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License Number State | PA
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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 | CW025484
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License Number State | PA
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