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General NPI Number Information
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NPI Number | 1710849567
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Entity Type | Organization
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Legal Business Name | VICKY KIJANSKI, LCSW, L.L.C.
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 205 S MACDILL AVE STE A
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City | TAMPA
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State | FL
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Zip | 33609-3130
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Country | US
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Telephone | 813-767-7426
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Fax | 813-531-6563
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Provider Business Mailing Address
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Address Line | 205 S MACDILL AVE STE A
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City | TAMPA
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State | FL
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Zip | 33609-3130
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Country | US
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Telephone | 813-767-7426
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Fax | 813-531-6563
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA K KIJANSKI
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Credential | LCSW
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Telephone | 813-767-7426
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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 |
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License Number State |
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