1467527911 NPI number — ROSEMARIE ELIZABETH GATES L.C.S.W.

NPI Number: 1467527911
Health Care Provider/Practitioner: ROSEMARIE ELIZABETH GATES L.C.S.W.

NPI Number : 1467527911 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467527911",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GATES",
    "FirstName": "ROSEMARIE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "L.C.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1275 15TH ST",
    "SecondLineMailingAddress": "APT 6S",
    "MailingAddressCityName": "FORT LEE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07024-1950",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-320-5505",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "333 E 34TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 1-O",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10016-4977",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-613-3070",
    "PracticeLocationAddressFaxNumber": "201-886-9622",
    "EnumerationDate": "11/21/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "074277-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "44SC05297200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}