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1437848603 NPI number — TIP OF THE SPEAR CLINICAL THERAPY GROUP LICENSED CLINICAL SOCIAL WOR

NPI Number: 1437848603
Health Care Provider/Practitioner: TIP OF THE SPEAR CLINICAL THERAPY GROUP LICENSED CLINICAL SOCIAL WOR

Information about “1437848603” NPI (TIP OF THE SPEAR CLINICAL THERAPY GROUP LICENSED CLINICAL SOCIAL WOR) exists in 1437848603 in HTML format HTML  |  1437848603 in plain Text format TXT  |  1437848603 in PDF (Portable Document Format) PDF  |  1437848603 in an XML format XML  formats.

NPI Number : 1437848603 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437848603",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TIP OF THE SPEAR CLINICAL THERAPY GROUP LICENSED CLINICAL SOCIAL WOR",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25109 JEFFERSON AVE STE 215",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRIETA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92562-8117",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-297-7773",
    "MailingAddressFaxNumber": "951-755-1694",
    "FirstLinePracticeLocationAddress": "24116 TUSCANY AVE UNIT 1901",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURRIETA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92562-1297",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-720-9007",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/03/2023",
    "LastUpdateDate": "01/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DESENA",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": "VITO",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW, PSYD",
    "AuthorizedOfficialTelephoneNumber": "951-297-7773",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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