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1356080220 NPI number — GINA ELIZABETH SKINNER LMSW-T

NPI Number: 1356080220
Health Care Provider/Practitioner: GINA ELIZABETH SKINNER LMSW-T

Information about “1356080220” NPI (GINA ELIZABETH SKINNER LMSW-T) exists in 1356080220 in HTML format HTML  |  1356080220 in plain Text format TXT  |  1356080220 in PDF (Portable Document Format) PDF  |  1356080220 in an XML format XML  formats.

NPI Number : 1356080220 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356080220",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SKINNER",
    "FirstName": "GINA",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW-T",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1711 N VASSAR AVE APT 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67208-2083",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "785-766-9129",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "825 N WACO AVE STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67203-3939",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-201-6047",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/31/2022",
    "LastUpdateDate": "05/31/2022",
    "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": "LMSW12562-T",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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