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1124730908 NPI number — JESSICA GOMES LOPES MSW, LCSW

NPI Number: 1124730908
Health Care Provider/Practitioner: JESSICA GOMES LOPES MSW, LCSW

Information about “1124730908” NPI (JESSICA GOMES LOPES MSW, LCSW) exists in 1124730908 in HTML format HTML  |  1124730908 in plain Text format TXT  |  1124730908 in PDF (Portable Document Format) PDF  |  1124730908 in an XML format XML  formats.

NPI Number : 1124730908 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124730908",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOPES",
    "FirstName": "JESSICA",
    "MiddleName": "GOMES",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "555 N. MAIN ST.",
    "SecondLineMailingAddress": "#121D",
    "MailingAddressCityName": "PROVIDENCE",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "37 N. SHARON ST.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EAST PROVIDENCE",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02914",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-753-2868",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/23/2022",
    "LastUpdateDate": "12/23/2022",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "CSW02944",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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