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1083966006 NPI number — KATHRYN E WEINER LICSW

NPI Number: 1083966006
Health Care Provider/Practitioner: KATHRYN E WEINER LICSW

Information about “1083966006” NPI (KATHRYN E WEINER LICSW) exists in 1083966006 in HTML format HTML  |  1083966006 in plain Text format TXT  |  1083966006 in PDF (Portable Document Format) PDF  |  1083966006 in an XML format XML  formats.

NPI Number : 1083966006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083966006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEINER",
    "FirstName": "KATHRYN",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CARNEY",
    "OtherFirstName": "KATHRYN",
    "OtherMiddleName": "E",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 6688",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PROVIDENCE",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02940-6688",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-331-1350",
    "MailingAddressFaxNumber": "401-277-3366",
    "FirstLinePracticeLocationAddress": "134 THURBERS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PROVIDENCE",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02905-4754",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-331-1350",
    "PracticeLocationAddressFaxNumber": "401-277-3366",
    "EnumerationDate": "10/15/2012",
    "LastUpdateDate": "06/14/2013",
    "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": "CSW01293",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "ISW02284",
          "LicenseNumberStateCode": "RI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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