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1275027666 NPI number — VICTORIA ANNE HODGE ENQUIST LCSW

NPI Number: 1275027666
Health Care Provider/Practitioner: VICTORIA ANNE HODGE ENQUIST LCSW

Information about “1275027666” NPI (VICTORIA ANNE HODGE ENQUIST LCSW) exists in 1275027666 in HTML format HTML  |  1275027666 in plain Text format TXT  |  1275027666 in PDF (Portable Document Format) PDF  |  1275027666 in an XML format XML  formats.

NPI Number : 1275027666 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275027666",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ENQUIST",
    "FirstName": "VICTORIA",
    "MiddleName": "ANNE HODGE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "38 CENTRAL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKVILLE",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06779-2133",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-910-9930",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "420 HIGHLAND AVE STE B1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHESHIRE",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06410-2527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-718-6318",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/19/2018",
    "LastUpdateDate": "04/13/2022",
    "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": "011051",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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