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General NPI Number Information
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NPI Number | 1750029104
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Entity Type | Individual
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Provider Name | LAUREN KATHRYN CARAVELLO LICSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 7465-7477 W LAKE MEAD BLVD STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89128-1026
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Country | US
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Telephone | 360-583-5475
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Fax |
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Provider Business Mailing Address
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Address Line | 7495 W AZURE DR STE 110
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City | LAS VEGAS
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State | NV
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Zip | 89130-4433
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Country | US
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Telephone | 360-583-5475
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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 | 61334739
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License Number State | WA
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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 | 11186-C
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License Number State | NV
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