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General NPI Number Information
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NPI Number | 1780545061
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Entity Type | Individual
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Provider Name | SOPHIA ANGELA FEELEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 585 LEBANON ST
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City | MELROSE
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State | MA
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Zip | 02176-3298
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Country | US
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Telephone | 646-750-9462
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Fax | 781-979-6993
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Provider Business Mailing Address
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Address Line | 43 BROCK ST APT 3
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City | BRIGHTON
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State | MA
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Zip | 02135-2662
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Country | US
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Telephone | 646-750-9462
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Fax | 781-979-6993
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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 | LCSW230076
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License Number State | MA
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