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General NPI Number Information
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NPI Number | 1811762941
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Entity Type | Organization
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Legal Business Name | MICHAEL ANNORENO LICENSED CLINICAL SOCIAL WORKER APC
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 626 W LANCASTER BLVD # 59
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City | LANCASTER
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State | CA
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Zip | 93534-2347
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Country | US
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Telephone | 661-441-6568
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Fax |
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Provider Business Mailing Address
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Address Line | 626 W LANCASTER BLVD
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City | LANCASTER
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State | CA
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Zip | 93534-3108
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Country | US
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Telephone | 661-810-7886
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MICHAEL ANNORENO
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Credential |
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Telephone | 661-441-6568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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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 |
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License Number State |
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