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1255110011 NPI number — LAUREN CAROLINE SMITH LMSW

NPI Number: 1255110011
Health Care Provider/Practitioner: LAUREN CAROLINE SMITH LMSW

Information about “1255110011” NPI (LAUREN CAROLINE SMITH LMSW) exists in 1255110011 in HTML format HTML  |  1255110011 in plain Text format TXT  |  1255110011 in PDF (Portable Document Format) PDF  |  1255110011 in an XML format XML  formats.

NPI Number : 1255110011 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255110011",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "LAUREN",
    "MiddleName": "CAROLINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "32 RISTONA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAVANNAH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31419-6221",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-310-4519",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1018 US HIGHWAY 80 W STE 702",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POOLER",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31322-1606",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-349-2969",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/21/2023",
    "LastUpdateDate": "09/21/2023",
    "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": "MSW011497",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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