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1093101180 NPI number — LILLIAN CECILE GEBERT LCSW

NPI Number: 1093101180
Health Care Provider/Practitioner: LILLIAN CECILE GEBERT LCSW

Information about “1093101180” NPI (LILLIAN CECILE GEBERT LCSW) exists in 1093101180 in HTML format HTML  |  1093101180 in plain Text format TXT  |  1093101180 in PDF (Portable Document Format) PDF  |  1093101180 in an XML format XML  formats.

NPI Number : 1093101180 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093101180",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GEBERT",
    "FirstName": "LILLIAN",
    "MiddleName": "CECILE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LUKEN",
    "OtherFirstName": "LILLIAN",
    "OtherMiddleName": "CECILE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "704 BAKER LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WINCHESTER",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22603-5757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 FOXCROFT AVE STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARTINSBURG",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "25401-5302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-513-3495",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/15/2015",
    "LastUpdateDate": "03/29/2025",
    "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": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "0904013927",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "DP00946246",
          "LicenseNumberStateCode": "WV",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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