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1306994736 NPI number — KATHLEEN REED KAFANTARIS LISW

NPI Number: 1306994736
Health Care Provider/Practitioner: KATHLEEN REED KAFANTARIS LISW

Information about “1306994736” NPI (KATHLEEN REED KAFANTARIS LISW) exists in 1306994736 in HTML format HTML  |  1306994736 in plain Text format TXT  |  1306994736 in PDF (Portable Document Format) PDF  |  1306994736 in an XML format XML  formats.

NPI Number : 1306994736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306994736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KAFANTARIS",
    "FirstName": "KATHLEEN",
    "MiddleName": "REED",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LISW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "REED",
    "OtherFirstName": "KATHLEEN",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5773 ALAMOSA CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32258-3101",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-517-9531",
    "MailingAddressFaxNumber": "904-490-9650",
    "FirstLinePracticeLocationAddress": "8825 PERIMETER PARK BLVD STE 301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32216-1112",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-517-9531",
    "PracticeLocationAddressFaxNumber": "904-490-9650",
    "EnumerationDate": "01/08/2007",
    "LastUpdateDate": "11/21/2022",
    "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": "I.0800376",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW15241",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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