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1285287912 NPI number — KARAH JEANNINE ADAMS LLMSW

NPI Number: 1285287912
Health Care Provider/Practitioner: KARAH JEANNINE ADAMS LLMSW

Information about “1285287912” NPI (KARAH JEANNINE ADAMS LLMSW) exists in 1285287912 in HTML format HTML  |  1285287912 in plain Text format TXT  |  1285287912 in PDF (Portable Document Format) PDF  |  1285287912 in an XML format XML  formats.

NPI Number : 1285287912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285287912",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ADAMS",
    "FirstName": "KARAH",
    "MiddleName": "JEANNINE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LLMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5716 MICHIGAN AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-481-3137",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1600 PORTER STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DETROIT",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48216",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-963-6601",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2019",
    "LastUpdateDate": "07/22/2019",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "6801098866",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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