{
"Npi": {
"NPI": "1437162948",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROBINSON",
"FirstName": "SARA",
"MiddleName": "SMITH",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PHD, LISW-CP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ROBINSON",
"OtherFirstName": "SALLY",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "PHD,LISW-CP",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "PO BOX 555",
"SecondLineMailingAddress": "SALLY ROBINSON, PHD, LISW-CP",
"MailingAddressCityName": "CAMDEN",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29021-0555",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-427-1182",
"MailingAddressFaxNumber": "803-432-4706",
"FirstLinePracticeLocationAddress": "1119 LITTLE STREET",
"SecondLinePracticeLocationAddress": "SALLY ROBINSON PHD, LISW-CP",
"PracticeLocationAddressCityName": "CAMDEN",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29020-3612",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-427-1182",
"PracticeLocationAddressFaxNumber": "803-432-4706",
"EnumerationDate": "08/14/2006",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "6803",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}