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General NPI Number Information
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NPI Number | 1891943809
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Entity Type | Individual
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Provider Name | JENNIFER H. GREENBERG LICSW, LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 4405 E WEST HWY STE 506
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City | BETHESDA
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State | MD
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Zip | 20814-4586
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Country | US
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Telephone | 646-670-6578
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Fax |
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Provider Business Mailing Address
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Address Line | 3135 TENNYSON ST NW
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City | WASHINGTON
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State | DC
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Zip | 20015-2359
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Country | US
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Telephone | 646-670-6578
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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 | 44SC05371900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 068577
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50078687
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17638
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License Number State | MD
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