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General NPI Number Information
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NPI Number | 1811791296
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Entity Type | Individual
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Provider Name | PAIGE BRICKLER MSW, LSW, CSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2015 CHILDRENS WAY
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City | UNION
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State | KY
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Zip | 41091-7829
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Country | US
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Telephone | 859-647-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 22 SAINT JUDE CIR
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City | FLORENCE
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State | KY
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Zip | 41042-2505
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Country | US
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Telephone | 859-250-4017
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2411294
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License Number State | OH
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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 | S.2411294
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License Number State | OH
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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 | 257900
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License Number State | KY
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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 | LCSW00001018
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License Number State | KY
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