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1174990659 NPI number — ALEKSANDRA E KROTOVA LCSW

NPI Number: 1174990659
Health Care Provider/Practitioner: ALEKSANDRA E KROTOVA LCSW

Information about “1174990659” NPI (ALEKSANDRA E KROTOVA LCSW) exists in 1174990659 in HTML format HTML  |  1174990659 in plain Text format TXT  |  1174990659 in PDF (Portable Document Format) PDF  |  1174990659 in an XML format XML  formats.

NPI Number : 1174990659 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174990659",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KROTOVA",
    "FirstName": "ALEKSANDRA",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KROTOVA",
    "OtherFirstName": "SASHA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1224 WASHINGTON AVE STE 206",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANDPOINT",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83864-5055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-230-6030",
    "MailingAddressFaxNumber": "406-282-1634",
    "FirstLinePracticeLocationAddress": "1224 WASHINGTON AVE STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANDPOINT",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83864-5055",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-282-1634",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/31/2015",
    "LastUpdateDate": "10/10/2024",
    "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": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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