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1255703534 NPI number — LORI-ANN MANGAL LMSW

NPI Number: 1255703534
Health Care Provider/Practitioner: LORI-ANN MANGAL LMSW

Information about “1255703534” NPI (LORI-ANN MANGAL LMSW) exists in 1255703534 in HTML format HTML  |  1255703534 in plain Text format TXT  |  1255703534 in PDF (Portable Document Format) PDF  |  1255703534 in an XML format XML  formats.

NPI Number : 1255703534 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255703534",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MANGAL",
    "FirstName": "LORI-ANN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "POMMELLS",
    "OtherFirstName": "LORI-ANN",
    "OtherMiddleName": "LACEY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "462 CROSS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTBURY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11590-3337",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "462 CROSS ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTBURY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11590-3337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-633-2390",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/26/2015",
    "LastUpdateDate": "10/26/2015",
    "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": "094246-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041S0200X",
          "TaxonomyName": "School Social Worker",
          "LicenseNumber": "094246-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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