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1396621058 NPI number — MARY CAGLE HARP LICSW

NPI Number: 1396621058
Health Care Provider/Practitioner: MARY CAGLE HARP LICSW

Information about “1396621058” NPI (MARY CAGLE HARP LICSW) exists in 1396621058 in HTML format HTML  |  1396621058 in plain Text format TXT  |  1396621058 in PDF (Portable Document Format) PDF  |  1396621058 in an XML format XML  formats.

NPI Number : 1396621058 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396621058",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HARP",
    "FirstName": "MARY",
    "MiddleName": "CAGLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CAGLE",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "CAROL",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "600 SUN TEMPLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISON",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35758-8643",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-975-4291",
    "MailingAddressFaxNumber": "256-325-1890",
    "FirstLinePracticeLocationAddress": "7101 US HIGHWAY 90 STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DAPHNE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36526-9510",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-701-5651",
    "PracticeLocationAddressFaxNumber": "256-429-9411",
    "EnumerationDate": "08/15/2025",
    "LastUpdateDate": "08/15/2025",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "6074C",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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