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General NPI Number Information
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NPI Number | 1932549227
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Entity Type | Individual
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Provider Name | JANELLE MARTINDALE MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 125 CHUBB AVE STE 100S
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City | LYNDHURST
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State | NJ
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Zip | 07071-3504
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Country | US
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Telephone | 551-261-1342
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Fax |
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Provider Business Mailing Address
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Address Line | 15234 SW 99TH AVE
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City | MIAMI
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State | FL
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Zip | 33157-1707
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Country | US
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Telephone |
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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 | SW16102
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License Number State | FL
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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 | 34008716A
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License Number State | IN
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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 | CSW008020
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License Number State | GA
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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 | 44SC05903800
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License Number State | NJ
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