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1407069305 NPI number — BARRY STEPHEN WEINER LCSW-C , LCADC

NPI Number: 1407069305
Health Care Provider/Practitioner: BARRY STEPHEN WEINER LCSW-C , LCADC

Information about “1407069305” NPI (BARRY STEPHEN WEINER LCSW-C , LCADC) exists in 1407069305 in HTML format HTML  |  1407069305 in plain Text format TXT  |  1407069305 in PDF (Portable Document Format) PDF  |  1407069305 in an XML format XML  formats.

NPI Number : 1407069305 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407069305",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEINER",
    "FirstName": "BARRY",
    "MiddleName": "STEPHEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW-C , LCADC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5112 LEEDS AVE.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HALETHORPE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21227",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-247-0364",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5560 STERRET PLACE",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21044",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-995-5555",
    "PracticeLocationAddressFaxNumber": "410-995-5556",
    "EnumerationDate": "05/07/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "11323",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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