{
"Npi": {
"NPI": "1497578793",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BITTEL",
"FirstName": "JENNIFER",
"MiddleName": "A",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BYRNES",
"OtherFirstName": "JENNIFER",
"OtherMiddleName": "A",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "LMSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "303 RIPPLEBROOK LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MINOA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13116-1019",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "315-751-2341",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1045 JAMES ST STE 100",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SYRACUSE",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13203-2758",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "315-472-4471",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/05/2024",
"LastUpdateDate": "11/05/2024",
"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": "052797",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}