{
"Npi": {
"NPI": "1225219793",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CLASEN",
"FirstName": "ALYCE",
"MiddleName": "ANN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LCSW, LISW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CLASEN",
"OtherFirstName": "ALYCE",
"OtherMiddleName": "ANN GILES",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMHP",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2039 ALBANY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOT SPRINGS",
"MailingAddressStateName": "SD",
"MailingAddressPostalCode": "57747-2022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "605-891-0913",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "113 COMANCHE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT MEADE",
"PracticeLocationAddressStateName": "SD",
"PracticeLocationAddressPostalCode": "57741-1002",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "605-745-2000",
"PracticeLocationAddressFaxNumber": "605-745-2878",
"EnumerationDate": "11/26/2007",
"LastUpdateDate": "03/18/2024",
"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": "457",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "206",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "0003",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "0904016045",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "31",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}