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General NPI Number Information
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NPI Number | 1992163240
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Entity Type | Individual
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Provider Name | MARGARET CUCINELLI LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 203 W WAYNE ST
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City | FORT WAYNE
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State | IN
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Zip | 46802-3610
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Country | US
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Telephone | 260-333-9703
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Fax |
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Provider Business Mailing Address
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Address Line | 903 WESCOTT DR
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City | FORT WAYNE
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State | IN
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Zip | 46818-8466
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Country | US
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Telephone | 260-418-9837
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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 | 34007507A
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License Number State | IN
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