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General NPI Number Information
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NPI Number | 1891164810
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Entity Type | Individual
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Provider Name | KAITLIN ROSE PADGETT LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 3050 RIVERWOOD PKWY STE B
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City | GASTONIA
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State | NC
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Zip | 28056-6002
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Country | US
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Telephone | 704-874-9005
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Fax | 704-874-9001
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Provider Business Mailing Address
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Address Line | 200 E 2ND AVE
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City | GASTONIA
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State | NC
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Zip | 28052-4358
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Country | US
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Telephone | 704-874-1904
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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 | P009897
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License Number State | NC
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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 | C011243
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11223
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License Number State | SC
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