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1417152133 NPI number — JEANNE M WOLMAN LMSW

NPI Number: 1417152133
Health Care Provider/Practitioner: JEANNE M WOLMAN LMSW

Information about “1417152133” NPI (JEANNE M WOLMAN LMSW) exists in 1417152133 in HTML format HTML  |  1417152133 in plain Text format TXT  |  1417152133 in PDF (Portable Document Format) PDF  |  1417152133 in an XML format XML  formats.

NPI Number : 1417152133 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417152133",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOLMAN",
    "FirstName": "JEANNE",
    "MiddleName": "M",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BADEN",
    "OtherFirstName": "JEANNE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "363 ROUTE 111",
    "SecondLineMailingAddress": "SUITE 103",
    "MailingAddressCityName": "SMITHTOWN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11787",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-455-9123",
    "MailingAddressFaxNumber": "631-751-6736",
    "FirstLinePracticeLocationAddress": "363 RT 111",
    "SecondLinePracticeLocationAddress": "SUITE 103",
    "PracticeLocationAddressCityName": "SMITHTOWN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11787",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-455-9123",
    "PracticeLocationAddressFaxNumber": "631-751-6736",
    "EnumerationDate": "06/21/2007",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "0741151",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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