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General NPI Number Information
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NPI Number | 1740722388
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Entity Type | Individual
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Provider Name | ASHLEY TIERNO LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/14/2016
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Last Update Date | 06/05/2021
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Provider Practice Location Address
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Address Line | 901 MARKET ST SUITE 380
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-1729
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Country | US
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Telephone | 415-489-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 PINE ST UNIT 130
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City | OAKLAND
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State | CA
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Zip | 94607-1463
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Country | US
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Telephone | 917-747-6619
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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 | 084450
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License Number State | NY
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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 | 93377
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License Number State | CA
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