1194918862 NPI number — LAURIE KAY SCHAFFER M.S.W. L.C.S.W.

NPI Number: 1194918862
Health Care Provider/Practitioner: LAURIE KAY SCHAFFER M.S.W. L.C.S.W.

NPI Number : 1194918862 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194918862",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHAFFER",
    "FirstName": "LAURIE",
    "MiddleName": "KAY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S.W. L.C.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DEVI",
    "OtherFirstName": "LAKSHMI",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "18119 SW 3RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEMBROKE PINES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33029-4349",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-441-1562",
    "MailingAddressFaxNumber": "954-450-9532",
    "FirstLinePracticeLocationAddress": "18119 SW 3RD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PEMBROKE PINES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33029-4349",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-441-1562",
    "PracticeLocationAddressFaxNumber": "954-450-9532",
    "EnumerationDate": "08/24/2007",
    "LastUpdateDate": "08/24/2007",
    "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": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "SW4390",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}