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1306091905 NPI number — VICTORIA MCDOUGALD MSW, LCSW

NPI Number: 1306091905
Health Care Provider/Practitioner: VICTORIA MCDOUGALD MSW, LCSW

Information about “1306091905” NPI (VICTORIA MCDOUGALD MSW, LCSW) exists in 1306091905 in HTML format HTML  |  1306091905 in plain Text format TXT  |  1306091905 in PDF (Portable Document Format) PDF  |  1306091905 in an XML format XML  formats.

NPI Number : 1306091905 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306091905",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDOUGALD",
    "FirstName": "VICTORIA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 313",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27828-0313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "252-228-9595",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3707 N MAIN ST STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMVILLE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27828-1485",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-228-9595",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/24/2008",
    "LastUpdateDate": "08/06/2025",
    "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": "44SC05201400",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "CW014470",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "C015432",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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