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General NPI Number Information
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NPI Number | 1720560881
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Entity Type | Individual
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Provider Name | CYNTHIA PATRICIA CASTILLO LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 01/04/2025
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Provider Practice Location Address
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Address Line | 220 GREENE AVE
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City | MIDDLESEX
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State | NJ
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Zip | 08846-1838
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Country | US
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Telephone | 347-820-5340
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 HADLEY RD # 1183
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-1139
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Country | US
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Telephone | 929-357-4804
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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 | 104259
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06563000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 094856
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License Number State | NY
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