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1053405613 NPI number — ELEANOR ELIZABETH WRIGHT LCSW

NPI Number: 1053405613
Health Care Provider/Practitioner: ELEANOR ELIZABETH WRIGHT LCSW

Information about “1053405613” NPI (ELEANOR ELIZABETH WRIGHT LCSW) exists in 1053405613 in HTML format HTML  |  1053405613 in plain Text format TXT  |  1053405613 in PDF (Portable Document Format) PDF  |  1053405613 in an XML format XML  formats.

NPI Number : 1053405613 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053405613",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WRIGHT",
    "FirstName": "ELEANOR",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WRIGHT",
    "OtherFirstName": "E. ELIZABETH",
    "OtherMiddleName": "HOLT",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1970 ROANOKE BOULEVARD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALEM",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24153",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-982-2463",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1310 3RD ST SW STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROANOKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24016-5219",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-815-7886",
    "PracticeLocationAddressFaxNumber": "833-944-2522",
    "EnumerationDate": "10/03/2006",
    "LastUpdateDate": "02/16/2021",
    "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": "090400458",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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