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1386281103 NPI number — MIRANDA AARON LCSW

NPI Number: 1386281103
Health Care Provider/Practitioner: MIRANDA AARON LCSW

Information about “1386281103” NPI (MIRANDA AARON LCSW) exists in 1386281103 in HTML format HTML  |  1386281103 in plain Text format TXT  |  1386281103 in PDF (Portable Document Format) PDF  |  1386281103 in an XML format XML  formats.

NPI Number : 1386281103 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386281103",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AARON",
    "FirstName": "MIRANDA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "492 PROSPECT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAPLEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07040-1304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-699-7482",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "76 S ORANGE AVE STE 206B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH ORANGE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07079-1923",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-762-9296",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/01/2019",
    "LastUpdateDate": "12/01/2019",
    "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": "44SC05250100",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "44SC05250200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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