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1346506243 NPI number — KAITLIN R. REMINGTON LICSW

NPI Number: 1346506243
Health Care Provider/Practitioner: KAITLIN R. REMINGTON LICSW

Information about “1346506243” NPI (KAITLIN R. REMINGTON LICSW) exists in 1346506243 in HTML format HTML  |  1346506243 in plain Text format TXT  |  1346506243 in PDF (Portable Document Format) PDF  |  1346506243 in an XML format XML  formats.

NPI Number : 1346506243 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346506243",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REMINGTON",
    "FirstName": "KAITLIN",
    "MiddleName": "R.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "REMINGTON VAN HOESEN",
    "OtherFirstName": "KAITLIN",
    "OtherMiddleName": "R.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LICSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "100 LEDGEHILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BENNINGTON",
    "MailingAddressStateName": "VT",
    "MailingAddressPostalCode": "05201-5200",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "802-442-5491",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "100 LEDGEHILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BENNINGTON",
    "PracticeLocationAddressStateName": "VT",
    "PracticeLocationAddressPostalCode": "05201-5200",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "802-442-5491",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/04/2012",
    "LastUpdateDate": "09/05/2024",
    "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": "089.0080348",
        "LicenseNumberStateCode": "VT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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