{
"Npi": {
"NPI": "1417413741",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZARATE",
"FirstName": "TRACY",
"MiddleName": "LYNN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "111 HOSPITAL DR",
"SecondLineMailingAddress": "CREDENTIALING DEPT",
"MailingAddressCityName": "UTICA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13502",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-801-8534",
"MailingAddressFaxNumber": "315-801-8391",
"FirstLinePracticeLocationAddress": "8411 SENECA TPKE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW HARTFORD",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13413-4912",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "315-624-8563",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/12/2019",
"LastUpdateDate": "01/23/2025",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}