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General NPI Number Information
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NPI Number | 1861886475
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Entity Type | Organization
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Legal Business Name | PIER VIEW COUNSELING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 707 CIVIC CENTER DR SUITE 106
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City | VISTA
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State | CA
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Zip | 92084-6160
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Country | US
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Telephone | 760-576-5822
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Fax |
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Provider Business Mailing Address
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Address Line | 707 CIVIC CENTER DR SUITE 106
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City | VISTA
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State | CA
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Zip | 92084-6160
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Country | US
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Telephone | 760-576-5822
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYDIA LOMBARDI GOOD
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Credential | LCSW, BCD
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Telephone | 760-576-5822
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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 | LCS 27399
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License Number State | CA
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