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1477887230 NPI number — ELIZABETH DIANE STRAYHORN LCSW

NPI Number: 1477887230
Health Care Provider/Practitioner: ELIZABETH DIANE STRAYHORN LCSW

Information about “1477887230” NPI (ELIZABETH DIANE STRAYHORN LCSW) exists in 1477887230 in HTML format HTML  |  1477887230 in plain Text format TXT  |  1477887230 in PDF (Portable Document Format) PDF  |  1477887230 in an XML format XML  formats.

NPI Number : 1477887230 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477887230",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STRAYHORN",
    "FirstName": "ELIZABETH",
    "MiddleName": "DIANE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "205 WILLARD WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ITHACA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14850-3833",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-973-0862",
    "MailingAddressFaxNumber": "724-935-6044",
    "FirstLinePracticeLocationAddress": "202 E. STATE ST.",
    "SecondLinePracticeLocationAddress": "SUITE 411",
    "PracticeLocationAddressCityName": "ITHACA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14850-5578",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-973-0862",
    "PracticeLocationAddressFaxNumber": "724-935-6044",
    "EnumerationDate": "09/28/2009",
    "LastUpdateDate": "06/16/2011",
    "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": "CW016401",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LICENSE#078527-1 CER",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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