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1013612951 NPI number — CAITLIN A BANZ LSW

NPI Number: 1013612951
Health Care Provider/Practitioner: CAITLIN A BANZ LSW

Information about “1013612951” NPI (CAITLIN A BANZ LSW) exists in 1013612951 in HTML format HTML  |  1013612951 in plain Text format TXT  |  1013612951 in PDF (Portable Document Format) PDF  |  1013612951 in an XML format XML  formats.

NPI Number : 1013612951 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013612951",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BANZ",
    "FirstName": "CAITLIN",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CONNOLLY",
    "OtherFirstName": "CAITLIN",
    "OtherMiddleName": "A",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11 DUCHESS CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREEHOLD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07728-7758",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-429-9211",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "35 BEAVERSON BLVD STE 8A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRICK",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08723-7861",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-373-1059",
    "PracticeLocationAddressFaxNumber": "908-373-8549",
    "EnumerationDate": "03/31/2023",
    "LastUpdateDate": "03/31/2023",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "44SL06180800",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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