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1194074161 NPI number — ELIZABETH PARTAIN CSW

NPI Number: 1194074161
Health Care Provider/Practitioner: ELIZABETH PARTAIN CSW

Information about “1194074161” NPI (ELIZABETH PARTAIN CSW) exists in 1194074161 in HTML format HTML  |  1194074161 in plain Text format TXT  |  1194074161 in PDF (Portable Document Format) PDF  |  1194074161 in an XML format XML  formats.

NPI Number : 1194074161 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194074161",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARTAIN",
    "FirstName": "ELIZABETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FRAKES",
    "OtherFirstName": "ELIZABETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "300 HOPE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MT WASHINGTON",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40047-7757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1925 FREDERICA ST STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OWENSBORO",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42301-4818",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "270-926-2484",
    "PracticeLocationAddressFaxNumber": "270-685-6015",
    "EnumerationDate": "09/05/2012",
    "LastUpdateDate": "02/28/2020",
    "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": "7428",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "254180",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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