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1144262312 NPI number — DOMINIC LEONARD SCOTTO LCSW

NPI Number: 1144262312
Health Care Provider/Practitioner: DOMINIC LEONARD SCOTTO LCSW

Information about “1144262312” NPI (DOMINIC LEONARD SCOTTO LCSW) exists in 1144262312 in HTML format HTML  |  1144262312 in plain Text format TXT  |  1144262312 in PDF (Portable Document Format) PDF  |  1144262312 in an XML format XML  formats.

NPI Number : 1144262312 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144262312",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCOTTO",
    "FirstName": "DOMINIC",
    "MiddleName": "LEONARD",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 WHITMAN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FREEHOLD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07728-4331",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-780-0410",
    "MailingAddressFaxNumber": "120-988-5644",
    "FirstLinePracticeLocationAddress": "2 WOODLAND DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07748-3438",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-216-2067",
    "PracticeLocationAddressFaxNumber": "209-885-6448",
    "EnumerationDate": "06/12/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "44SC00363500",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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