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General NPI Number Information
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NPI Number | 1942429642
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Entity Type | Individual
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Provider Name | CARRIE DIANE GILBERT LICSW
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 10/20/2008
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Provider Practice Location Address
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Address Line | 55 FEDERAL ST SUITE 150
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City | GREENFIELD
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State | MA
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Zip | 01301-2546
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Country | US
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Telephone | 413-775-4725
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Fax | 413-772-3724
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Provider Business Mailing Address
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Address Line | 236 BRIDGE ST
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City | NORTHAMPTON
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State | MA
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Zip | 01060-2412
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Country | US
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Telephone | 413-387-7584
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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 | 113386
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License Number State | MA
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