{
"Npi": {
"NPI": "1417494600",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LAMB",
"FirstName": "JUANITA",
"MiddleName": "SENIOR",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SENIOR",
"OtherFirstName": "JUANITA",
"OtherMiddleName": "ANN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 7058",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TERRE HAUTE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47802-7058",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-298-9797",
"MailingAddressFaxNumber": "812-298-0343",
"FirstLinePracticeLocationAddress": "1019 E SPRINGHILL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TERRE HAUTE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47802-4547",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-298-9797",
"PracticeLocationAddressFaxNumber": "812-298-0343",
"EnumerationDate": "01/25/2017",
"LastUpdateDate": "01/25/2017",
"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": "34002391A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}