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General NPI Number Information
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NPI Number | 1962790790
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Entity Type | Individual
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Provider Name | LAURA JANE SCHMIDT BROWN MA, LCSW, CASAC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 01/31/2021
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Provider Practice Location Address
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Address Line | 21 PULASKI ROAD UNIT 242
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City | KINGS PARK
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State | NY
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Zip | 11754-1923
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Country | US
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Telephone | 631-260-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 130 TOTTEN AVE
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City | DEER PARK
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State | NY
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Zip | 11729-1923
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Country | US
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Telephone | 631-586-0898
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CASAC 24713
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LMSW 078672
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License Number State | NY
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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 | 087062
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License Number State | NY
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