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1275668923 NPI number — LAURIE DYAN KINIGSTEIN LCSW

NPI Number: 1275668923
Health Care Provider/Practitioner: LAURIE DYAN KINIGSTEIN LCSW

Information about “1275668923” NPI (LAURIE DYAN KINIGSTEIN LCSW) exists in 1275668923 in HTML format HTML  |  1275668923 in plain Text format TXT  |  1275668923 in PDF (Portable Document Format) PDF  |  1275668923 in an XML format XML  formats.

NPI Number : 1275668923 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275668923",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KINIGSTEIN",
    "FirstName": "LAURIE",
    "MiddleName": "DYAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOSS",
    "OtherFirstName": "LAURIE",
    "OtherMiddleName": "DYAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1710 ASHLAND AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA MONICA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90405-4836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-633-1414",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12304 SANTA MONICA BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 215",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90025-2551",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-625-3305",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/22/2007",
    "LastUpdateDate": "03/24/2014",
    "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": "LCS 21282",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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