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1306998364 NPI number — JOAN BOWEN CARROLL CRONIN MSW LICSW

NPI Number: 1306998364
Health Care Provider/Practitioner: JOAN BOWEN CARROLL CRONIN MSW LICSW

Information about “1306998364” NPI (JOAN BOWEN CARROLL CRONIN MSW LICSW) exists in 1306998364 in HTML format HTML  |  1306998364 in plain Text format TXT  |  1306998364 in PDF (Portable Document Format) PDF  |  1306998364 in an XML format XML  formats.

NPI Number : 1306998364 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306998364",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CARROLL CRONIN",
    "FirstName": "JOAN",
    "MiddleName": "BOWEN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "41 DAVIS CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONCORD",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01742",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "978-371-3456",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "518 GREAT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ACTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-263-4878",
    "PracticeLocationAddressFaxNumber": "978-635-0386",
    "EnumerationDate": "01/18/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "1027146",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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