NPI Code Detail JSON Logo

1275645640 NPI number — CHRISTINE DIETZ LCSW

NPI Number: 1275645640
Health Care Provider/Practitioner: CHRISTINE DIETZ LCSW

Information about “1275645640” NPI (CHRISTINE DIETZ LCSW) exists in 1275645640 in HTML format HTML  |  1275645640 in plain Text format TXT  |  1275645640 in PDF (Portable Document Format) PDF  |  1275645640 in an XML format XML  formats.

NPI Number : 1275645640 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275645640",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIETZ",
    "FirstName": "CHRISTINE",
    "MiddleName": null,
    "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": "1010 MAIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUFFALO",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14202-1102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-859-4726",
    "MailingAddressFaxNumber": "716-859-4818",
    "FirstLinePracticeLocationAddress": "1010 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUFFALO",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14202-1102",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-859-4726",
    "PracticeLocationAddressFaxNumber": "716-859-4818",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "09/29/2010",
    "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": "LC6618",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LC6618",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "032904-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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