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1346924321 NPI number — MACKENZIE KAYLEN ROY LMSW

NPI Number: 1346924321
Health Care Provider/Practitioner: MACKENZIE KAYLEN ROY LMSW

Information about “1346924321” NPI (MACKENZIE KAYLEN ROY LMSW) exists in 1346924321 in HTML format HTML  |  1346924321 in plain Text format TXT  |  1346924321 in PDF (Portable Document Format) PDF  |  1346924321 in an XML format XML  formats.

NPI Number : 1346924321 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1346924321",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROY",
    "FirstName": "MACKENZIE",
    "MiddleName": "KAYLEN",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROY",
    "OtherFirstName": "MACKENZIE",
    "OtherMiddleName": "KAYLEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "7414 SAWYER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13323-4717",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7414 SAWYER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLINTON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13323-4717",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-601-4461",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/12/2023",
    "LastUpdateDate": "06/12/2023",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "114327",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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