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1124266085 NPI number — STACIE LYNN SINGH LCSW

NPI Number: 1124266085
Health Care Provider/Practitioner: STACIE LYNN SINGH LCSW

Information about “1124266085” NPI (STACIE LYNN SINGH LCSW) exists in 1124266085 in HTML format HTML  |  1124266085 in plain Text format TXT  |  1124266085 in PDF (Portable Document Format) PDF  |  1124266085 in an XML format XML  formats.

NPI Number : 1124266085 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124266085",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SINGH",
    "FirstName": "STACIE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "791 N PEPPER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLTON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92324-1800",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-824-0480",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "791 N PEPPER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLTON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92324-1800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-824-0480",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/30/2009",
    "LastUpdateDate": "05/06/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "04/13/2012",
    "NPIReactivationDate": "12/01/2014",
    "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": "61383",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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