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General NPI Number Information
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NPI Number | 1851207203
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Entity Type | Organization
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Legal Business Name | LIGHTWELL PSYCHOTHERAPY
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 221 E MAIN ST UNIT 189
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City | EAST BROOKFIELD
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State | MA
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Zip | 01515-1639
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Country | US
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Telephone | 978-997-8286
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Fax | 978-903-6764
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Provider Business Mailing Address
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Address Line | 221 E MAIN ST UNIT 189
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City | EAST BROOKFIELD
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State | MA
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Zip | 01515-1639
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Country | US
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Telephone | 978-903-6764
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Fax | 978-903-6764
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Authorized Official
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Title or Position | PROVIDER
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Name | SARAH CARR
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Credential | LICSW
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Telephone | 978-997-8286
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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 |
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License Number State |
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