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1043732274 NPI number — ELIZABETH R HARDING LCSW

NPI Number: 1043732274
Health Care Provider/Practitioner: ELIZABETH R HARDING LCSW

Information about “1043732274” NPI (ELIZABETH R HARDING LCSW) exists in 1043732274 in HTML format HTML  |  1043732274 in plain Text format TXT  |  1043732274 in PDF (Portable Document Format) PDF  |  1043732274 in an XML format XML  formats.

NPI Number : 1043732274 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043732274",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARDING",
    "FirstName": "ELIZABETH",
    "MiddleName": "R",
    "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": "2184 CHANNING WAY # 266",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IDAHO FALLS",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83404-8034",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-557-1418",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "661 S WOODRUFF AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "IDAHO FALLS",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83401-5596",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-655-5450",
    "PracticeLocationAddressFaxNumber": "385-225-9327",
    "EnumerationDate": "07/10/2017",
    "LastUpdateDate": "07/21/2025",
    "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": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "14007990-3501",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LC24363",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LCSW-41012",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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