{
"Npi": {
"NPI": "1043598949",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DEBBIE URSIN, LCSW, L. L. C.",
"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": "2600 METAIRIE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "METAIRIE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70002-6312",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "504-322-2489",
"MailingAddressFaxNumber": "504-322-2489",
"FirstLinePracticeLocationAddress": "300 CODIFER BLVD",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "METAIRIE",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70005-3725",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "504-322-2489",
"PracticeLocationAddressFaxNumber": "504-322-2489",
"EnumerationDate": "07/26/2011",
"LastUpdateDate": "02/19/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "URSIN",
"AuthorizedOfficialFirstName": "MARCELLA",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MSW",
"AuthorizedOfficialTelephoneNumber": "504-322-2489",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "4076",
"LicenseNumberStateCode": "LA",
"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."
}
}
}
}