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General NPI Number Information
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NPI Number | 1821839150
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Entity Type | Organization
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Legal Business Name | BROOKE SCHWARTZ, LICENSED CLINICAL SOCIAL WORKER, P.C.
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1849 SAWTELLE BLVD STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90025-7013
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Country | US
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Telephone | 203-984-9156
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Fax |
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Provider Business Mailing Address
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Address Line | 1849 SAWTELLE BLVD STE 680
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City | LOS ANGELES
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State | CA
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Zip | 90025-7082
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Country | US
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Telephone | 203-984-9156
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | BROOKE SYDNEY SCHWARTZ
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Credential | LCSW
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Telephone | 203-984-9156
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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 |
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License Number State |
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