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1477437168 NPI number — DEVON DE PAOLA LMSW

NPI Number: 1477437168
Health Care Provider/Practitioner: DEVON DE PAOLA LMSW

Information about “1477437168” NPI (DEVON DE PAOLA LMSW) exists in 1477437168 in HTML format HTML  |  1477437168 in plain Text format TXT  |  1477437168 in PDF (Portable Document Format) PDF  |  1477437168 in an XML format XML  formats.

NPI Number : 1477437168 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477437168",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DE PAOLA",
    "FirstName": "DEVON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "203 W 81ST ST APT 2E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10024-5816",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-465-0928",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "BRONX CHILD AND FAMILY MENTAL HEALTH CENTER",
    "SecondLinePracticeLocationAddress": "579 COURTLANDT AVE",
    "PracticeLocationAddressCityName": "BRONX",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10451-5013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-908-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2025",
    "LastUpdateDate": "08/05/2025",
    "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": "127945",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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