{
"Npi": {
"NPI": "1104913375",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROTHENBERG",
"FirstName": "JUDITH",
"MiddleName": "S",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSW, LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ROTHENBERG",
"OtherFirstName": "JUDITH",
"OtherMiddleName": "S",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "13199 SE SPYGLASS CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOBE SOUND",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33455-7244",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "772-284-4147",
"MailingAddressFaxNumber": "772-545-3494",
"FirstLinePracticeLocationAddress": "1080 E INDIANTOWN RD",
"SecondLinePracticeLocationAddress": "SUITE. 104A",
"PracticeLocationAddressCityName": "JUPITER",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33477-5100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "772-284-4147",
"PracticeLocationAddressFaxNumber": "772-545-3494",
"EnumerationDate": "10/06/2006",
"LastUpdateDate": "09/09/2013",
"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": "SW 5032",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}