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1215367248 NPI number — NICOLETTE TUASON MSW, LCSW

NPI Number: 1215367248
Health Care Provider/Practitioner: NICOLETTE TUASON MSW, LCSW

Information about “1215367248” NPI (NICOLETTE TUASON MSW, LCSW) exists in 1215367248 in HTML format HTML  |  1215367248 in plain Text format TXT  |  1215367248 in PDF (Portable Document Format) PDF  |  1215367248 in an XML format XML  formats.

NPI Number : 1215367248 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215367248",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TUASON",
    "FirstName": "NICOLETTE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DICHO",
    "OtherFirstName": "NICOLETTE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 285",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRIETA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92564-0285",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11201 BENTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOMA LINDA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92357-6502",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-825-7084",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/12/2013",
    "LastUpdateDate": "03/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "06/27/2018",
    "NPIReactivationDate": "03/20/2023",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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