NPI Code Detail JSON Logo

1265747984 NPI number — JAMILYN D TRILLO LCSW

NPI Number: 1265747984
Health Care Provider/Practitioner: JAMILYN D TRILLO LCSW

Information about “1265747984” NPI (JAMILYN D TRILLO LCSW) exists in 1265747984 in HTML format HTML  |  1265747984 in plain Text format TXT  |  1265747984 in PDF (Portable Document Format) PDF  |  1265747984 in an XML format XML  formats.

NPI Number : 1265747984 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265747984",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRILLO",
    "FirstName": "JAMILYN",
    "MiddleName": "D",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRILLO",
    "OtherFirstName": "JAMIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 1024",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LUCERNE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95458-1024",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "707-274-9101",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6302 THIRTEENTH AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LUCERNE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95458",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "707-274-9101",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/18/2010",
    "LastUpdateDate": "03/25/2019",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "81537",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "ASW 32505",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LCSW87939",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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