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1164782736 NPI number — SEONG CHO-JU LCSW

NPI Number: 1164782736
Health Care Provider/Practitioner: SEONG CHO-JU LCSW

Information about “1164782736” NPI (SEONG CHO-JU LCSW) exists in 1164782736 in HTML format HTML  |  1164782736 in plain Text format TXT  |  1164782736 in PDF (Portable Document Format) PDF  |  1164782736 in an XML format XML  formats.

NPI Number : 1164782736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164782736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHO-JU",
    "FirstName": "SEONG",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PSC 307 BOX 4292",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "APO",
    "MailingAddressStateName": "AP",
    "MailingAddressPostalCode": "96224-0043",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH)",
    "SecondLinePracticeLocationAddress": "UNIT #15245; BLDG 3031",
    "PracticeLocationAddressCityName": "APO",
    "PracticeLocationAddressStateName": "AP",
    "PracticeLocationAddressPostalCode": "96271",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-737-2273",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/17/2012",
    "LastUpdateDate": "08/02/2024",
    "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": "149.015266",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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