{
"Npi": {
"NPI": "1063383776",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MATTY",
"FirstName": "EMILY",
"MiddleName": "MAYA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MATTY",
"OtherFirstName": "HAYDEN",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "106 WALNUT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HADDONFIELD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08033-1855",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "856-298-7921",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1301 SPRINGDALE RD STE 150",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHERRY HILL",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08003-2763",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "856-424-1333",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/16/2025",
"LastUpdateDate": "09/16/2025",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "44SL07279000",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}