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1396014742 NPI number — CHRISTINE LYNN JOSEPH LCSW

NPI Number: 1396014742
Health Care Provider/Practitioner: CHRISTINE LYNN JOSEPH LCSW

Information about “1396014742” NPI (CHRISTINE LYNN JOSEPH LCSW) exists in 1396014742 in HTML format HTML  |  1396014742 in plain Text format TXT  |  1396014742 in PDF (Portable Document Format) PDF  |  1396014742 in an XML format XML  formats.

NPI Number : 1396014742 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396014742",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOSEPH",
    "FirstName": "CHRISTINE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOSEPH-RUSSO",
    "OtherFirstName": "CHRISTINE",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "191 LAMAR HALEY PKWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CANTON",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30114-8019",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-704-1600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "191 LAMAR HALEY PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CANTON",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30114-8019",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-704-1600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/14/2011",
    "LastUpdateDate": "01/30/2017",
    "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": "079095-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "CSW005913",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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