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1285986620 NPI number — CARLY GALLAGHER LMSW

NPI Number: 1285986620
Health Care Provider/Practitioner: CARLY GALLAGHER LMSW

Information about “1285986620” NPI (CARLY GALLAGHER LMSW) exists in 1285986620 in HTML format HTML  |  1285986620 in plain Text format TXT  |  1285986620 in PDF (Portable Document Format) PDF  |  1285986620 in an XML format XML  formats.

NPI Number : 1285986620 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285986620",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GALLAGHER",
    "FirstName": "CARLY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CONSTANTINO",
    "OtherFirstName": "CARLY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "79 GLENRIDGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12302-4528",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "79 GLENRIDGE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENVILLE",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12302-4523",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-399-6446",
    "PracticeLocationAddressFaxNumber": "518-952-8109",
    "EnumerationDate": "10/10/2012",
    "LastUpdateDate": "04/25/2025",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "086393",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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