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NPI 1770282022

NPI 1770282022 : BLAIRE L SIMAS LCSW : WARWICK, RI

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General NPI Number Information
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    NPI Number           |    1770282022
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    Entity Type          |    Individual 
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    Provider Name        |    BLAIRE L SIMAS LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/27/2023
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    Last Update Date     |    08/15/2025
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Provider Practice Location Address
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    Address Line         |    469 CENTERVILLE RD STE 105 
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    City                 |    WARWICK
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    State                |    RI
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    Zip                  |    02886-4356
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    Country              |    US
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    Telephone            |    401-773-3700
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    Fax                  |    401-773-3701
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Provider Business Mailing Address
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    Address Line         |    386 STANLEY ST 
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    City                 |    FALL RIVER
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    State                |    MA
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    Zip                  |    02720-6009
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    Country              |    US
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    Telephone            |    508-679-5222
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    Fax                  |    508-673-3182
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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       |    CSW04188
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    License Number State |    RI
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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       |    LCSW2120521
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    License Number State |    MA
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