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1366238388 NPI number — KASSONDRA SOTO LCSW

NPI Number: 1366238388
Health Care Provider/Practitioner: KASSONDRA SOTO LCSW

Information about “1366238388” NPI (KASSONDRA SOTO LCSW) exists in 1366238388 in HTML format HTML  |  1366238388 in plain Text format TXT  |  1366238388 in PDF (Portable Document Format) PDF  |  1366238388 in an XML format XML  formats.

NPI Number : 1366238388 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366238388",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOTO",
    "FirstName": "KASSONDRA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GROTE",
    "OtherFirstName": "KASSONDRA",
    "OtherMiddleName": "MAE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "318 AQUAMARINE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28546-8070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-212-9558",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1108 BIRCH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMP LEJEUNE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28547-2518",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "910-451-7290",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/16/2025",
    "LastUpdateDate": "04/16/2025",
    "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": "C018277",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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