NPI Code Detail JSON Logo

1033045620 NPI number — LIGHT PATHWAY COUNSELING AND WELLNESS LICENSED INDEPENDENT SOCIAL WORKER CORPORATION

NPI Number: 1033045620
Health Care Provider/Practitioner: LIGHT PATHWAY COUNSELING AND WELLNESS LICENSED INDEPENDENT SOCIAL WORKER CORPORATION

Information about “1033045620” NPI (LIGHT PATHWAY COUNSELING AND WELLNESS LICENSED INDEPENDENT SOCIAL WORKER CORPORATION) exists in 1033045620 in HTML format HTML  |  1033045620 in plain Text format TXT  |  1033045620 in PDF (Portable Document Format) PDF  |  1033045620 in an XML format XML  formats.

NPI Number : 1033045620 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033045620",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIGHT PATHWAY COUNSELING AND WELLNESS LICENSED INDEPENDENT SOCIAL WORKER CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8405 W 1ST ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90048-3412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "323-376-9857",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8405 W 1ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90048-3412",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-376-9857",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2026",
    "LastUpdateDate": "06/22/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUGHLEY",
    "AuthorizedOfficialFirstName": "LENNY",
    "AuthorizedOfficialMiddleName": "BRUCE",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "323-376-9857",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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