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1245672153 NPI number — CAITLIN E. CRAWFORD LCSW

NPI Number: 1245672153
Health Care Provider/Practitioner: CAITLIN E. CRAWFORD LCSW

Information about “1245672153” NPI (CAITLIN E. CRAWFORD LCSW) exists in 1245672153 in HTML format HTML  |  1245672153 in plain Text format TXT  |  1245672153 in PDF (Portable Document Format) PDF  |  1245672153 in an XML format XML  formats.

NPI Number : 1245672153 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245672153",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CRAWFORD",
    "FirstName": "CAITLIN",
    "MiddleName": "E.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GALLAGHER",
    "OtherFirstName": "CAITLIN",
    "OtherMiddleName": "E.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13681 NEWPORT AVE # 8-343",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TUSTIN",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92780-4689",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-490-2732",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13681 NEWPORT AVE # 8-343",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TUSTIN",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92780-4689",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-604-6555",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/19/2013",
    "LastUpdateDate": "09/17/2024",
    "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": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "ASW61865",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225400000X",
          "TaxonomyName": "Rehabilitation Practitioner",
          "LicenseNumber": "ASW61865",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "LCSW75750",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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