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General NPI Number Information
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NPI Number | 1942470521
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Entity Type | Individual
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Provider Name | CHERYL NEIVERTH LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 433 US ROUTE 1 COTTAGE PLACE, SUITE #109 F
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City | YORK
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State | ME
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Zip | 03909-1659
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Country | US
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Telephone | 646-964-7268
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Fax |
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Provider Business Mailing Address
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Address Line | 433 U.S. RTE. 1, COTTAGE PLACE SUITE #109 F
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City | YORK
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State | ME
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Zip | 03909
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Country | US
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Telephone | 646-964-7268
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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 | LC14398
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License Number State | ME
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