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1205066487 NPI number — JOSEPH CHARLES YASKIN L.C.S.W

NPI Number: 1205066487
Health Care Provider/Practitioner: JOSEPH CHARLES YASKIN L.C.S.W

Information about “1205066487” NPI (JOSEPH CHARLES YASKIN L.C.S.W) exists in 1205066487 in HTML format HTML  |  1205066487 in plain Text format TXT  |  1205066487 in PDF (Portable Document Format) PDF  |  1205066487 in an XML format XML  formats.

NPI Number : 1205066487 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205066487",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YASKIN",
    "FirstName": "JOSEPH",
    "MiddleName": "CHARLES",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.C.S.W",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "YASKIN",
    "OtherFirstName": "JOSEPH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "148 STONEWAY LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BALA CYNWYD",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19004-3125",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-450-6763",
    "MailingAddressFaxNumber": "866-446-1126",
    "FirstLinePracticeLocationAddress": "4 E GERMANTOWN PIKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLYMOUTH MEETING",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19462-1533",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-278-1755",
    "PracticeLocationAddressFaxNumber": "844-673-2239",
    "EnumerationDate": "07/21/2009",
    "LastUpdateDate": "03/25/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "CW016999",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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