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General NPI Number Information
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NPI Number | 1972386779
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Entity Type | Organization
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Legal Business Name | CYPRESS HEALTH LICENSED CLINICAL SOCIAL WORKER INC.
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 1775 WOODSIDE RD STE 301
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3458
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Country | US
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Telephone | 650-564-4878
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Fax | 651-260-5004
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Provider Business Mailing Address
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Address Line | 1775 WOODSIDE RD STE 301
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3458
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Country | US
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Telephone | 650-564-4878
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Fax | 651-260-5004
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Authorized Official
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Title or Position | PRESIDENT
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Name | APRIL ELLIS
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Credential | LCSW
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Telephone | 415-867-1419
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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