{
"Npi": {
"NPI": "1053489757",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MEAGHER",
"FirstName": "DEANNA",
"MiddleName": "GAY",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JANVRIN",
"OtherFirstName": "DEANNA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "83 PATCH MOUNTAIN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORWAY",
"MailingAddressStateName": "ME",
"MailingAddressPostalCode": "04268-4100",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "207-527-2015",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "143 POTTLE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OXFORD",
"PracticeLocationAddressStateName": "ME",
"PracticeLocationAddressPostalCode": "04270-3362",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "207-743-7911",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/01/2006",
"LastUpdateDate": "07/08/2007",
"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": "LC7726",
"LicenseNumberStateCode": "ME",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}