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General NPI Number Information
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NPI Number | 1891817250
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Entity Type | Individual
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Provider Name | ELLEN BETH SCHNIER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/05/2007
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 19 HALLS RD STE 213
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City | OLD LYME
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State | CT
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Zip | 06371-1457
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Country | US
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Telephone | 203-499-9686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 366
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City | OLD LYME
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State | CT
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Zip | 06371-0366
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Country | US
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Telephone | 203-499-9686
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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 | R045680-1
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License Number State | NY
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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 | 007129
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License Number State | CT
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