{
"Npi": {
"NPI": "1164751434",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HAASE",
"FirstName": "PATRICIA",
"MiddleName": "B",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MS LISW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7404 BUCKSKIN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HICKSVILLE",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "43526-9747",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-542-7434",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2149 COLLINGWOOD BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TOLEDO",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43620-1652",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-267-5528",
"PracticeLocationAddressFaxNumber": "419-268-5530",
"EnumerationDate": "12/16/2009",
"LastUpdateDate": "12/16/2009",
"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": "I.0900304",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}