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1295849974 NPI number — JAMES MIDFORD MORRISON MSSW

NPI Number: 1295849974
Health Care Provider/Practitioner: JAMES MIDFORD MORRISON MSSW

Information about “1295849974” NPI (JAMES MIDFORD MORRISON MSSW) exists in 1295849974 in HTML format HTML  |  1295849974 in plain Text format TXT  |  1295849974 in PDF (Portable Document Format) PDF  |  1295849974 in an XML format XML  formats.

NPI Number : 1295849974 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295849974",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORRISON",
    "FirstName": "JAMES",
    "MiddleName": "MIDFORD",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MSSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 790",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ASHLAND",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41105-0790",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-329-8588",
    "MailingAddressFaxNumber": "606-329-8195",
    "FirstLinePracticeLocationAddress": "201 22ND ST",
    "SecondLinePracticeLocationAddress": "PATHWAYS MENTAL HEALTH",
    "PracticeLocationAddressCityName": "ASHLAND",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "41101-7803",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-429-6741",
    "PracticeLocationAddressFaxNumber": "304-429-0287",
    "EnumerationDate": "08/18/2006",
    "LastUpdateDate": "09/18/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "34001721A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "252148",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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