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General NPI Number Information
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NPI Number | 1780921031
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Entity Type | Individual
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Provider Name | REMINGTON VANDERGRIFF LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1792 PATRICIA DR
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City | CLARKSVILLE
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State | TN
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Zip | 37040-7345
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Country | US
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Telephone | 931-914-4807
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Fax |
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Provider Business Mailing Address
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Address Line | 1792 PATRICIA DR
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City | CLARKSVILLE
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State | TN
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Zip | 37040-7345
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Country | US
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Telephone | 931-914-4807
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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 | 6727
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License Number State | TN
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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 | SWB-2025-0430
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License Number State | NM
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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 | TPSW5583
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C009347
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7071070
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0136581TELE
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License Number State | VT
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