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General NPI Number Information
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NPI Number | 1871461871
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Entity Type | Organization
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Legal Business Name | ALIVIO AND WELLNESS LICENSED CLINICAL SOCIAL WORKER GROUP INC.
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 201 S MILLER ST STE 107
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City | SANTA MARIA
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State | CA
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Zip | 93454-5248
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Country | US
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Telephone | 805-295-4877
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1081
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City | NIPOMO
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State | CA
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Zip | 93444-1081
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Country | US
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Telephone | 805-295-4877
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MAYRA LOURDES PRIETO
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Credential | LCSW
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Telephone | 805-295-4877
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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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