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General NPI Number Information
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NPI Number | 1881042265
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Entity Type | Individual
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Provider Name | STEFANI K CASTRO LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 41900 FENWICK ST
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City | LEONARDTOWN
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State | MD
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Zip | 20650-3814
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Country | US
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Telephone | 301-475-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 RIDGE RD STE 237
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City | ROCKWALL
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State | TX
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Zip | 75087-4250
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Country | US
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Telephone | 469-243-9374
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 21528
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License Number State | MD
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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 |
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License Number State |
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