{
"Npi": {
"NPI": "1346413549",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GLATT",
"FirstName": "PATRICIA",
"MiddleName": "FLEENER",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 298",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KITTRELL",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27544-0298",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-433-0300",
"MailingAddressFaxNumber": "252-433-8054",
"FirstLinePracticeLocationAddress": "109 N GARNETT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HENDERSON",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27536-4637",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-433-0300",
"PracticeLocationAddressFaxNumber": "252-433-8054",
"EnumerationDate": "04/08/2008",
"LastUpdateDate": "04/08/2008",
"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": "C005455",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}