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1144297839 NPI number — KATHY T RIDER LCSW BCD

NPI Number: 1144297839
Health Care Provider/Practitioner: KATHY T RIDER LCSW BCD

Information about “1144297839” NPI (KATHY T RIDER LCSW BCD) exists in 1144297839 in HTML format HTML  |  1144297839 in plain Text format TXT  |  1144297839 in PDF (Portable Document Format) PDF  |  1144297839 in an XML format XML  formats.

NPI Number : 1144297839 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144297839",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIDER",
    "FirstName": "KATHY",
    "MiddleName": "T",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW BCD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3724 JEFFERSON",
    "SecondLineMailingAddress": "STE 206",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78731",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-452-8948",
    "MailingAddressFaxNumber": "512-452-0459",
    "FirstLinePracticeLocationAddress": "3724 JEFFERSON",
    "SecondLinePracticeLocationAddress": "STE 206",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78731",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-452-8948",
    "PracticeLocationAddressFaxNumber": "512-452-0459",
    "EnumerationDate": "03/02/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "TXS00731",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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