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1215767181 NPI number — BARBARA MOORE BODIFORD LCSW, DSW

NPI Number: 1215767181
Health Care Provider/Practitioner: BARBARA MOORE BODIFORD LCSW, DSW

Information about “1215767181” NPI (BARBARA MOORE BODIFORD LCSW, DSW) exists in 1215767181 in HTML format HTML  |  1215767181 in plain Text format TXT  |  1215767181 in PDF (Portable Document Format) PDF  |  1215767181 in an XML format XML  formats.

NPI Number : 1215767181 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215767181",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BODIFORD",
    "FirstName": "BARBARA",
    "MiddleName": "MOORE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW, DSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 206",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALTHA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32421-0206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-272-0500",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "27905 STATE ROAD 71 N",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALTHA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32421-2817",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-272-0500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/06/2024",
    "LastUpdateDate": "08/06/2024",
    "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": "23362",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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