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1205104999 NPI number — NIQUETTE LACOUR KEARNEY LCSW

NPI Number: 1205104999
Health Care Provider/Practitioner: NIQUETTE LACOUR KEARNEY LCSW

Information about “1205104999” NPI (NIQUETTE LACOUR KEARNEY LCSW) exists in 1205104999 in HTML format HTML  |  1205104999 in plain Text format TXT  |  1205104999 in PDF (Portable Document Format) PDF  |  1205104999 in an XML format XML  formats.

NPI Number : 1205104999 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205104999",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEARNEY",
    "FirstName": "NIQUETTE",
    "MiddleName": "LACOUR",
    "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": "1430 TULANE AVE",
    "SecondLineMailingAddress": "# 8509",
    "MailingAddressCityName": "NEW ORLEANS",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70112-2632",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-832-4096",
    "MailingAddressFaxNumber": "504-287-0003",
    "FirstLinePracticeLocationAddress": "2412 ATHANIA PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "METAIRIE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70001-1918",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-832-4096",
    "PracticeLocationAddressFaxNumber": "504-287-0003",
    "EnumerationDate": "12/08/2011",
    "LastUpdateDate": "06/22/2016",
    "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": "8855",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "4675",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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