1447403357 NPI number — REBECCA TODDES-MILLER M.S.S./L.C.S.W (PENN

NPI Number: 1447403357
Health Care Provider/Practitioner: REBECCA TODDES-MILLER M.S.S./L.C.S.W (PENN

NPI Number : 1447403357 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447403357",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TODDES-MILLER",
    "FirstName": "REBECCA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S.S./L.C.S.W (PENN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TODDES",
    "OtherFirstName": "REBECCA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "8 DOWNING CIRCLE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOWNINGTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19335",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-873-0495",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "517 E LANCASTER AVE",
    "SecondLinePracticeLocationAddress": "SUITE 201",
    "PracticeLocationAddressCityName": "DOWNINGTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19335-2778",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-594-1494",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/23/2008",
    "LastUpdateDate": "01/17/2017",
    "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": "CW013319",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}