NPI Code Detail JSON Logo

1154417376 NPI number — LUCY M SHICK LCSW

NPI Number: 1154417376
Health Care Provider/Practitioner: LUCY M SHICK LCSW

Information about “1154417376” NPI (LUCY M SHICK LCSW) exists in 1154417376 in HTML format HTML  |  1154417376 in plain Text format TXT  |  1154417376 in PDF (Portable Document Format) PDF  |  1154417376 in an XML format XML  formats.

NPI Number : 1154417376 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154417376",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHICK",
    "FirstName": "LUCY",
    "MiddleName": "M",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MONROE",
    "OtherFirstName": "LUCY",
    "OtherMiddleName": "E",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "524 NORTH TEJON STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLORADO SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80903",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "719-475-2542",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "524 NORTH TEJON STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLORADO SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "719-475-2542",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2006",
    "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": "876202",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.