NPI Code Detail JSON Logo

1033990072 NPI number — SYDNEY SMYK LCSW

NPI Number: 1033990072
Health Care Provider/Practitioner: SYDNEY SMYK LCSW

Information about “1033990072” NPI (SYDNEY SMYK LCSW) exists in 1033990072 in HTML format HTML  |  1033990072 in plain Text format TXT  |  1033990072 in PDF (Portable Document Format) PDF  |  1033990072 in an XML format XML  formats.

NPI Number : 1033990072 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033990072",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMYK",
    "FirstName": "SYDNEY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "16529 COASTAL HWY UNIT 120",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEWES",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19958-3697",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-519-9041",
    "MailingAddressFaxNumber": "302-644-6768",
    "FirstLinePracticeLocationAddress": "16529 COASTAL HWY UNIT 120",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LEWES",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19958-3697",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-519-9041",
    "PracticeLocationAddressFaxNumber": "302-644-6768",
    "EnumerationDate": "10/05/2023",
    "LastUpdateDate": "01/25/2024",
    "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": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "Q1-0012339",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "Q1-0012339",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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