{
"Npi": {
"NPI": "1013004316",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CARPENTER",
"FirstName": "ANNE",
"MiddleName": "SEAGLE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LCMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SEAGLE CARPENTER",
"OtherFirstName": "ANNE",
"OtherMiddleName": "ELIZABETH",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "19700 BING RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LYNNWOOD",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98036-7118",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "206-595-7822",
"MailingAddressFaxNumber": "425-640-2618",
"FirstLinePracticeLocationAddress": "6920 220TH ST SW",
"SecondLinePracticeLocationAddress": "STE. 106",
"PracticeLocationAddressCityName": "MOUNTLAKE TERRACE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98043-2177",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "425-640-9777",
"PracticeLocationAddressFaxNumber": "425-640-5122",
"EnumerationDate": "10/06/2006",
"LastUpdateDate": "05/02/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "LW00005847",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}