{
"Npi": {
"NPI": "1134261928",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LEEMASTER",
"FirstName": "LAURA",
"MiddleName": "DENISE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LCSW, ACSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SMITH",
"OtherFirstName": "LAURA",
"OtherMiddleName": "D.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "815 MAIN ST.",
"SecondLineMailingAddress": "SUITE 1D",
"MailingAddressCityName": "ST. JOSEPH",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49085",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "269-982-4055",
"MailingAddressFaxNumber": "219-462-9000",
"FirstLinePracticeLocationAddress": "4004 CAMPBELL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VALPARAISO",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46385",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "219-462-9000",
"PracticeLocationAddressFaxNumber": "219-462-9000",
"EnumerationDate": "02/12/2007",
"LastUpdateDate": "12/16/2008",
"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": "34003981A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "6801090052",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}