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1043656127 NPI number — CYNTHIA ELIZABETH LEACH MSW, LCSW, LMFT

NPI Number: 1043656127
Health Care Provider/Practitioner: CYNTHIA ELIZABETH LEACH MSW, LCSW, LMFT

Information about “1043656127” NPI (CYNTHIA ELIZABETH LEACH MSW, LCSW, LMFT) exists in 1043656127 in HTML format HTML  |  1043656127 in plain Text format TXT  |  1043656127 in PDF (Portable Document Format) PDF  |  1043656127 in an XML format XML  formats.

NPI Number : 1043656127 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043656127",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEACH",
    "FirstName": "CYNTHIA",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW, LCSW, LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEACH",
    "OtherFirstName": "C.",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MSW, LCSW, LMFT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "4 PINEKNOLL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08648-3138",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-610-5011",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "390 AMWELL RD BLDG 3",
    "SecondLinePracticeLocationAddress": "SUITE NUMBER 312",
    "PracticeLocationAddressCityName": "HILLSBOROUGH",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08844-1225",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-610-5011",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/16/2013",
    "LastUpdateDate": "05/16/2013",
    "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": "051884-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "44SC05427500",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW5574",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "37F100169200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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