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1275649022 NPI number — LORIEN NELSON LCSW

NPI Number: 1275649022
Health Care Provider/Practitioner: LORIEN NELSON LCSW

Information about “1275649022” NPI (LORIEN NELSON LCSW) exists in 1275649022 in HTML format HTML  |  1275649022 in plain Text format TXT  |  1275649022 in PDF (Portable Document Format) PDF  |  1275649022 in an XML format XML  formats.

NPI Number : 1275649022 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275649022",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "LORIEN",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HALBROOK",
    "OtherFirstName": "LORIEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 3861",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARIZONA CITY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85223-3861",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5103 GREENMEADOW DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONCORD",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94521-3623",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-797-2246",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/22/2006",
    "LastUpdateDate": "07/18/2025",
    "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": "LCSW-12297",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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