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1467421123 NPI number — STEPHANE MARIE ELISCO LSW, MPA

NPI Number: 1467421123
Health Care Provider/Practitioner: STEPHANE MARIE ELISCO LSW, MPA

Information about “1467421123” NPI (STEPHANE MARIE ELISCO LSW, MPA) exists in 1467421123 in HTML format HTML  |  1467421123 in plain Text format TXT  |  1467421123 in PDF (Portable Document Format) PDF  |  1467421123 in an XML format XML  formats.

NPI Number : 1467421123 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467421123",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELISCO",
    "FirstName": "STEPHANE",
    "MiddleName": "MARIE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "LSW, MPA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3103 WILMINGTON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW CASTLE",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "16105-1131",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-944-5810",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3103 WILMINGTON RD STE 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW CASTLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "16105-1131",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-944-5810",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/15/2006",
    "LastUpdateDate": "01/20/2026",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "CW022523",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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