NPI Code Detail JSON Logo

1093128936 NPI number — ROBIN L KLUTTZ LSCSW

NPI Number: 1093128936
Health Care Provider/Practitioner: ROBIN L KLUTTZ LSCSW

Information about “1093128936” NPI (ROBIN L KLUTTZ LSCSW) exists in 1093128936 in HTML format HTML  |  1093128936 in plain Text format TXT  |  1093128936 in PDF (Portable Document Format) PDF  |  1093128936 in an XML format XML  formats.

NPI Number : 1093128936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093128936",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KLUTTZ",
    "FirstName": "ROBIN",
    "MiddleName": "L",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LSCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HELGET",
    "OtherFirstName": "ROBIN",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1512 S SIOUX DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OLATHE",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66062",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "785-608-4456",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9300 W 110 TH ST",
    "SecondLinePracticeLocationAddress": "STE 590",
    "PracticeLocationAddressCityName": "OVERLAND PARK",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "66210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-735-6727",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2014",
    "LastUpdateDate": "05/20/2020",
    "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": "9200",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "2019038802",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "4836",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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