{
"Npi": {
"NPI": "1053433722",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MICHALOWSKI",
"FirstName": "DENISE",
"MiddleName": "MARIE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LCSW, LCADC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "16 HIGHLAND AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DOVER",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07801-3733",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "973-229-3198",
"MailingAddressFaxNumber": "862-209-1106",
"FirstLinePracticeLocationAddress": "159 E MAIN ST STE 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ROCKAWAY",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07866-3507",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-229-3198",
"PracticeLocationAddressFaxNumber": "862-209-1106",
"EnumerationDate": "04/04/2007",
"LastUpdateDate": "05/26/2023",
"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": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "37LC00129100",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YM0800X",
"TaxonomyName": "Mental Health Counselor",
"LicenseNumber": "44SC00180700",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}