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1467646356 NPI number — NELDA JEAN CAROL WULF LCSW

NPI Number: 1467646356
Health Care Provider/Practitioner: NELDA JEAN CAROL WULF LCSW

Information about “1467646356” NPI (NELDA JEAN CAROL WULF LCSW) exists in 1467646356 in HTML format HTML  |  1467646356 in plain Text format TXT  |  1467646356 in PDF (Portable Document Format) PDF  |  1467646356 in an XML format XML  formats.

NPI Number : 1467646356 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467646356",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WULF",
    "FirstName": "NELDA JEAN",
    "MiddleName": "CAROL",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WULF",
    "OtherFirstName": "JEAN",
    "OtherMiddleName": "C.",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1339 31ST STREET CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLORADO SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80904-1206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "719-659-6097",
    "MailingAddressFaxNumber": "719-578-1759",
    "FirstLinePracticeLocationAddress": "1339 31ST STREET CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLORADO SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80904-1206",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "719-659-6097",
    "PracticeLocationAddressFaxNumber": "719-578-8589",
    "EnumerationDate": "09/04/2007",
    "LastUpdateDate": "07/11/2011",
    "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": "989526",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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