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1154753309 NPI number — MICHELLE LYNN STEWART LLMSW

NPI Number: 1154753309
Health Care Provider/Practitioner: MICHELLE LYNN STEWART LLMSW

Information about “1154753309” NPI (MICHELLE LYNN STEWART LLMSW) exists in 1154753309 in HTML format HTML  |  1154753309 in plain Text format TXT  |  1154753309 in PDF (Portable Document Format) PDF  |  1154753309 in an XML format XML  formats.

NPI Number : 1154753309 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154753309",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEWART",
    "FirstName": "MICHELLE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LLMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WEISS",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "443 N STATE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARO",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48723-1539",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-672-6160",
    "MailingAddressFaxNumber": "989-672-5649",
    "FirstLinePracticeLocationAddress": "651 N STATE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARO",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48723-1543",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-673-5700",
    "PracticeLocationAddressFaxNumber": "989-672-2555",
    "EnumerationDate": "07/30/2013",
    "LastUpdateDate": "07/30/2013",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "6801093184",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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