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1194139170 NPI number — CHRISTINE HEAD LSWAIC

NPI Number: 1194139170
Health Care Provider/Practitioner: CHRISTINE HEAD LSWAIC

Information about “1194139170” NPI (CHRISTINE HEAD LSWAIC) exists in 1194139170 in HTML format HTML  |  1194139170 in plain Text format TXT  |  1194139170 in PDF (Portable Document Format) PDF  |  1194139170 in an XML format XML  formats.

NPI Number : 1194139170 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194139170",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HEAD",
    "FirstName": "CHRISTINE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LSWAIC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "64 MARTIN FARM RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JASPER",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30143-5710",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "253-283-1213",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 N HOWARD ST STE R",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99201-0508",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-602-6611",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/17/2014",
    "LastUpdateDate": "08/30/2021",
    "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": "SC60838766",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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