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1144348624 NPI number — KENNETH DEAN MCPHERSON MSW, LCSW

NPI Number: 1144348624
Health Care Provider/Practitioner: KENNETH DEAN MCPHERSON MSW, LCSW

Information about “1144348624” NPI (KENNETH DEAN MCPHERSON MSW, LCSW) exists in 1144348624 in HTML format HTML  |  1144348624 in plain Text format TXT  |  1144348624 in PDF (Portable Document Format) PDF  |  1144348624 in an XML format XML  formats.

NPI Number : 1144348624 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144348624",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCPHERSON",
    "FirstName": "KENNETH",
    "MiddleName": "DEAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "301 E WASHINGTON ST",
    "SecondLineMailingAddress": "SUITE 301",
    "MailingAddressCityName": "GREENSBORO",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27401-2957",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-333-6853",
    "MailingAddressFaxNumber": "336-333-6815",
    "FirstLinePracticeLocationAddress": "301 E WASHINGTON ST",
    "SecondLinePracticeLocationAddress": "SUITE 301",
    "PracticeLocationAddressCityName": "GREENSBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27401-2957",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-333-6853",
    "PracticeLocationAddressFaxNumber": "336-333-6815",
    "EnumerationDate": "03/26/2007",
    "LastUpdateDate": "07/09/2007",
    "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": "C004319",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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