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General NPI Number Information
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NPI Number | 1891151890
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Entity Type | Individual
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Provider Name | MICHAEL ADAM WEINBERG LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 807 LIBERTY DR STE 106
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City | VERONA
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State | WI
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Zip | 53593-9160
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Country | US
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Telephone | 608-819-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 326 HARBOUR TOWN DR
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City | MADISON
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State | WI
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Zip | 53717-2606
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Country | US
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Telephone | 847-858-0965
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 12670-123
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License Number State | WI
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