{
"Npi": {
"NPI": "1447561451",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "O'CONNOR",
"FirstName": "KIMBERLY",
"MiddleName": "A",
"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": "1285 ROUTE 9",
"SecondLineMailingAddress": "STE 7",
"MailingAddressCityName": "WAPPINGERS FALLS",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "12590-4993",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "914-456-9637",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1133 ROUTE 55",
"SecondLinePracticeLocationAddress": "STE 2",
"PracticeLocationAddressCityName": "LAGRANGEVILLE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "12540-5051",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-456-9637",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/24/2010",
"LastUpdateDate": "01/23/2017",
"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": "077303",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "0532001",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041S0200X",
"TaxonomyName": "School Social Worker",
"LicenseNumber": "2198229",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}