{
"Npi": {
"NPI": "1457647059",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ENCELEWSKI",
"FirstName": "JULIE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SYNKONIS",
"OtherFirstName": "JULIE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "40442 COACHWOOD CIR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORTHVILLE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48168-3274",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-344-0311",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "4925 PACKARD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ANN ARBOR",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48108-1521",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "734-971-9781",
"PracticeLocationAddressFaxNumber": "734-971-2730",
"EnumerationDate": "06/22/2011",
"LastUpdateDate": "06/22/2011",
"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": "6801068588",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}