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1366797474 NPI number — SKY MARIE TAPP LCSW

NPI Number: 1366797474
Health Care Provider/Practitioner: SKY MARIE TAPP LCSW

Information about “1366797474” NPI (SKY MARIE TAPP LCSW) exists in 1366797474 in HTML format HTML  |  1366797474 in plain Text format TXT  |  1366797474 in PDF (Portable Document Format) PDF  |  1366797474 in an XML format XML  formats.

NPI Number : 1366797474 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366797474",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAPP",
    "FirstName": "SKY",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COLLINS",
    "OtherFirstName": "SKY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "32 EMERALD CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CABOT",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72023-8176",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-259-4723",
    "MailingAddressFaxNumber": "833-520-1539",
    "FirstLinePracticeLocationAddress": "2120 W MAIN ST STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CABOT",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72023-7442",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-615-4028",
    "PracticeLocationAddressFaxNumber": "833-520-1539",
    "EnumerationDate": "07/16/2012",
    "LastUpdateDate": "12/02/2022",
    "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": "6686-M",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "6686-C",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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