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1417348012 NPI number — KARINA GRANT LCSW

NPI Number: 1417348012
Health Care Provider/Practitioner: KARINA GRANT LCSW

Information about “1417348012” NPI (KARINA GRANT LCSW) exists in 1417348012 in HTML format HTML  |  1417348012 in plain Text format TXT  |  1417348012 in PDF (Portable Document Format) PDF  |  1417348012 in an XML format XML  formats.

NPI Number : 1417348012 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417348012",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GRANT",
    "FirstName": "KARINA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COLLADO",
    "OtherFirstName": "KARINA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1175 FULTON AVE",
    "SecondLineMailingAddress": "APT 2D",
    "MailingAddressCityName": "BRONX",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10456-4320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-488-5126",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "21 JUMEL PL",
    "SecondLinePracticeLocationAddress": "RM. A127",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10032-4316",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-923-1495",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/18/2015",
    "LastUpdateDate": "09/26/2019",
    "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": "101YS0200X",
          "TaxonomyName": "School Counselor",
          "LicenseNumber": "088963",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "087664",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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