NPI Code Detail JSON Logo

1235425984 NPI number — GRISEL RODRIGUEZ LCSW

NPI Number: 1235425984
Health Care Provider/Practitioner: GRISEL RODRIGUEZ LCSW

Information about “1235425984” NPI (GRISEL RODRIGUEZ LCSW) exists in 1235425984 in HTML format HTML  |  1235425984 in plain Text format TXT  |  1235425984 in PDF (Portable Document Format) PDF  |  1235425984 in an XML format XML  formats.

NPI Number : 1235425984 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235425984",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RODRIGUEZ",
    "FirstName": "GRISEL",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2909 N ASHLAND AVE",
    "SecondLineMailingAddress": "UNIT 3",
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60657-4003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-498-2170",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "710 S PAULINA ST",
    "SecondLinePracticeLocationAddress": "SUITE 316",
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60612-3808",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "312-942-2093",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2011",
    "LastUpdateDate": "06/21/2011",
    "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": "149014506",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.