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General NPI Number Information
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NPI Number | 1902366453
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Entity Type | Organization
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Legal Business Name | DESIRED SOCIAL SERVICES, LLC
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 13206 IDLEWILD DR
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City | BOWIE
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State | MD
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Zip | 20715-1406
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Country | US
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Telephone | 216-965-4495
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Fax |
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Provider Business Mailing Address
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Address Line | 13206 IDLEWILD DR
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City | BOWIE
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State | MD
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Zip | 20715-1406
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Country | US
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Telephone | 216-965-4495
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESIREE R WASHINGTON
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Credential | LCSW-C, LICSW
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Telephone | 240-245-4663
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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