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1194278697 NPI number — LINDSEY JUDGE JOYNER LCSW

NPI Number: 1194278697
Health Care Provider/Practitioner: LINDSEY JUDGE JOYNER LCSW

Information about “1194278697” NPI (LINDSEY JUDGE JOYNER LCSW) exists in 1194278697 in HTML format HTML  |  1194278697 in plain Text format TXT  |  1194278697 in PDF (Portable Document Format) PDF  |  1194278697 in an XML format XML  formats.

NPI Number : 1194278697 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194278697",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOYNER",
    "FirstName": "LINDSEY",
    "MiddleName": "JUDGE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "515 GLOSSON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RALEIGH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27606-1117",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-605-4131",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "307 S SALEM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APEX",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27502-1845",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-378-1406",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/01/2016",
    "LastUpdateDate": "01/29/2025",
    "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": "P010530",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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