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1093854127 NPI number — KATHRYN RENEE EILERS LCSW

NPI Number: 1093854127
Health Care Provider/Practitioner: KATHRYN RENEE EILERS LCSW

Information about “1093854127” NPI (KATHRYN RENEE EILERS LCSW) exists in 1093854127 in HTML format HTML  |  1093854127 in plain Text format TXT  |  1093854127 in PDF (Portable Document Format) PDF  |  1093854127 in an XML format XML  formats.

NPI Number : 1093854127 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093854127",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EILERS",
    "FirstName": "KATHRYN",
    "MiddleName": "RENEE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BAUERLY",
    "OtherFirstName": "KATHRYN",
    "OtherMiddleName": "RENEE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5905 O ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINCOLN",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68510-2235",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-436-1301",
    "MailingAddressFaxNumber": "402-458-3297",
    "FirstLinePracticeLocationAddress": "2229 J ST",
    "SecondLinePracticeLocationAddress": "COUNSELING CENTER",
    "PracticeLocationAddressCityName": "LINCOLN",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68510-6851",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-436-1301",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/05/2007",
    "LastUpdateDate": "07/21/2022",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "3287",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "1254",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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