{
"Npi": {
"NPI": "1386845865",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BEATTY",
"FirstName": "CAROL",
"MiddleName": null,
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BEATTY",
"OtherFirstName": "CAROL",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "1515 HIDDEN TERRACE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SANTA CRUZ",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95062-2948",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "831-476-7834",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8054 VALENCIA ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "APTOS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95003-3984",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "831-427-8553",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/30/2007",
"LastUpdateDate": "07/08/2007",
"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": "LCS14632",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}