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General NPI Number Information
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NPI Number | 1821733544
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Entity Type | Individual
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Provider Name | AMANDA LEE MCCLANAHAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 240 N BROADWAY STE 208
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City | PORTLAND
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State | OR
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Zip | 97227-1881
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Country | US
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Telephone | 503-664-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 3184 FOXWOOD DR
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City | APOPKA
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State | FL
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Zip | 32703-4976
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Country | US
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Telephone | 407-474-7508
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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 | L13565
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License Number State | OR
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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 | SW11718
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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 | LCSW-22161
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License Number State | AZ
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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 | LCSW-42664
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License Number State | ID
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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 | SWB-2022-0547
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License Number State | NM
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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 | 10888-C
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License Number State | NV
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW023830
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61350119
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License Number State | WA
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13033040-3501
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License Number State | UT
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW.09930020
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License Number State | CO
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