{
"Npi": {
"NPI": "1205924727",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YESCHIN",
"FirstName": "NATALIE",
"MiddleName": "JUDY",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "YESCHIN",
"OtherFirstName": "NATALIE",
"OtherMiddleName": "JUDY",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "509 MARIN ST",
"SecondLineMailingAddress": "124-D",
"MailingAddressCityName": "THOUSAND OAKS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91360-4261",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-373-8365",
"MailingAddressFaxNumber": "805-373-8367",
"FirstLinePracticeLocationAddress": "509 MARIN ST",
"SecondLinePracticeLocationAddress": "124-D",
"PracticeLocationAddressCityName": "THOUSAND OAKS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91360-4261",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-373-8365",
"PracticeLocationAddressFaxNumber": "805-373-8367",
"EnumerationDate": "10/10/2006",
"LastUpdateDate": "07/08/2007",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "LCS 20417",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}