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General NPI Number Information
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NPI Number | 1932600111
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Entity Type | Individual
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Provider Name | MADISON LILY STEWART LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 714 W PINE ST BLDG C
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City | NEWPORT
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State | WA
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Zip | 99156-9046
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Country | US
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Telephone | 509-447-3139
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Fax |
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Provider Business Mailing Address
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Address Line | 714 W PINE ST
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City | NEWPORT
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State | WA
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Zip | 99156-9046
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Country | US
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Telephone | 509-447-3139
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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 | LW61329863
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CP61040054
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License Number State | WA
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