{
"Npi": {
"NPI": "1215255922",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PALMER",
"FirstName": "LASHANDA",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "SOCIAL WORKER",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GIBSON-PALMER",
"OtherFirstName": "LASHANDA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LISW-CP MAC",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "4611 HARD SCRABBLE RD STE 109",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLUMBIA",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29229-9499",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-350-9131",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6439 GARNERS FERRY RD",
"SecondLinePracticeLocationAddress": "COLUMBIA",
"PracticeLocationAddressCityName": "COLUMBIA",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29209-1638",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-776-4000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/06/2010",
"LastUpdateDate": "08/13/2020",
"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": "9291",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}