NPI Code Detail JSON Logo

1316851132 NPI number — SOLUNA ROSE HEALING AND WELLNESS, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION

NPI Number: 1316851132
Health Care Provider/Practitioner: SOLUNA ROSE HEALING AND WELLNESS, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION

Information about “1316851132” NPI (SOLUNA ROSE HEALING AND WELLNESS, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION) exists in 1316851132 in HTML format HTML  |  1316851132 in plain Text format TXT  |  1316851132 in PDF (Portable Document Format) PDF  |  1316851132 in an XML format XML  formats.

NPI Number : 1316851132 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316851132",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOLUNA ROSE HEALING AND WELLNESS, LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "820 CHOLLA DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BARSTOW",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92311-5410",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "442-229-6162",
    "MailingAddressFaxNumber": "442-201-0104",
    "FirstLinePracticeLocationAddress": "820 CHOLLA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BARSTOW",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92311-5410",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "442-229-6162",
    "PracticeLocationAddressFaxNumber": "442-201-0104",
    "EnumerationDate": "09/29/2026",
    "LastUpdateDate": "09/29/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCHUFF",
    "AuthorizedOfficialFirstName": "ROSA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "442-229-6162",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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