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General NPI Number Information
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NPI Number | 1790920585
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Entity Type | Individual
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Provider Name | LUISA BELECHE VILLAGOMEZ LCSW,LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 408-681-9441
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Fax | 833-672-3225
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 408-681-9441
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Fax | 833-672-3225
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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 | 71906
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License Number State | CA
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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 | SW17541
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License Number State | FL
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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 | LC200003218
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License Number State | DC
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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 |
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License Number State |
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