NPI Code Detail JSON Logo

1215112404 NPI number — EMILY ALLISON SLATTERY LMSW

NPI Number: 1215112404
Health Care Provider/Practitioner: EMILY ALLISON SLATTERY LMSW

Information about “1215112404” NPI (EMILY ALLISON SLATTERY LMSW) exists in 1215112404 in HTML format HTML  |  1215112404 in plain Text format TXT  |  1215112404 in PDF (Portable Document Format) PDF  |  1215112404 in an XML format XML  formats.

NPI Number : 1215112404 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215112404",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SLATTERY",
    "FirstName": "EMILY",
    "MiddleName": "ALLISON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "107 CHURCH HILL RD STE GL1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANDY HOOK",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06482-1194",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-648-5983",
    "MailingAddressFaxNumber": "203-491-2900",
    "FirstLinePracticeLocationAddress": "107 CHURCH HILL RD STE GL1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANDY HOOK",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06482-1194",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-648-5983",
    "PracticeLocationAddressFaxNumber": "203-491-2900",
    "EnumerationDate": "01/07/2008",
    "LastUpdateDate": "12/22/2017",
    "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": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA0600X",
          "TaxonomyName": "Adult Day Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.