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1023778396 NPI number — INDIENNE RAE MORROW LCSW

NPI Number: 1023778396
Health Care Provider/Practitioner: INDIENNE RAE MORROW LCSW

Information about “1023778396” NPI (INDIENNE RAE MORROW LCSW) exists in 1023778396 in HTML format HTML  |  1023778396 in plain Text format TXT  |  1023778396 in PDF (Portable Document Format) PDF  |  1023778396 in an XML format XML  formats.

NPI Number : 1023778396 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023778396",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORROW",
    "FirstName": "INDIENNE",
    "MiddleName": "RAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CASTILO",
    "OtherFirstName": "INDIE",
    "OtherMiddleName": "RAE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "220 ATHENS WAY STE 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37228-1351",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-320-1155",
    "MailingAddressFaxNumber": "615-320-1177",
    "FirstLinePracticeLocationAddress": "341 COOL SPRINGS BLVD STE 140",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRANKLIN",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37067-7222",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "615-320-1155",
    "PracticeLocationAddressFaxNumber": "615-320-1177",
    "EnumerationDate": "12/28/2021",
    "LastUpdateDate": "02/21/2025",
    "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": "7294",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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