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1043030240 NPI number — MICHAEL JOSEPH SMOCK MSW, LSW, LMSW

NPI Number: 1043030240
Health Care Provider/Practitioner: MICHAEL JOSEPH SMOCK MSW, LSW, LMSW

Information about “1043030240” NPI (MICHAEL JOSEPH SMOCK MSW, LSW, LMSW) exists in 1043030240 in HTML format HTML  |  1043030240 in plain Text format TXT  |  1043030240 in PDF (Portable Document Format) PDF  |  1043030240 in an XML format XML  formats.

NPI Number : 1043030240 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043030240",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMOCK",
    "FirstName": "MICHAEL",
    "MiddleName": "JOSEPH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, LSW, LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8791 WOLFF CT STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTMINSTER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80031-3693",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "720-663-8084",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8791 WOLFF CT STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTMINSTER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80031-3693",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "720-583-5256",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2024",
    "LastUpdateDate": "10/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "21192",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "LSW.0009925272",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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