NPI Code Detail JSON Logo

1033950712 NPI number — TRINE MARIE LANE LMSW

NPI Number: 1033950712
Health Care Provider/Practitioner: TRINE MARIE LANE LMSW

Information about “1033950712” NPI (TRINE MARIE LANE LMSW) exists in 1033950712 in HTML format HTML  |  1033950712 in plain Text format TXT  |  1033950712 in PDF (Portable Document Format) PDF  |  1033950712 in an XML format XML  formats.

NPI Number : 1033950712 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033950712",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LANE",
    "FirstName": "TRINE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 396",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RADIUM SPRINGS",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "88054-0396",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "915-249-9226",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "530 N CHURCH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAS CRUCES",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "88001-3440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "575-526-9878",
    "PracticeLocationAddressFaxNumber": "575-526-7835",
    "EnumerationDate": "06/05/2024",
    "LastUpdateDate": "06/05/2024",
    "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": "SWB-2024-0512",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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