{
"Npi": {
"NPI": "1215418926",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "WOODSON-BOOSKA",
"FirstName": "NATALIE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LISW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WOODSON",
"OtherFirstName": "NATALIE",
"OtherMiddleName": "KARA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LISW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "507 S RIVERVIEW AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIAMISBURG",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45342-3027",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "937-789-8107",
"MailingAddressFaxNumber": "888-648-9355",
"FirstLinePracticeLocationAddress": "830 N SUMMIT ST STE 2",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TOLEDO",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "43604-1884",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-693-9600",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/22/2018",
"LastUpdateDate": "11/05/2025",
"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": "I.2507176",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}