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1508268517 NPI number — TINA WILSON MCRARY LCSWA

NPI Number: 1508268517
Health Care Provider/Practitioner: TINA WILSON MCRARY LCSWA

Information about “1508268517” NPI (TINA WILSON MCRARY LCSWA) exists in 1508268517 in HTML format HTML  |  1508268517 in plain Text format TXT  |  1508268517 in PDF (Portable Document Format) PDF  |  1508268517 in an XML format XML  formats.

NPI Number : 1508268517 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508268517",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCRARY",
    "FirstName": "TINA",
    "MiddleName": "WILSON",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSWA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2359 US HIGHWAY 70 SE",
    "SecondLineMailingAddress": "# 357",
    "MailingAddressCityName": "HICKORY",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28602-8300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "704-332-9001",
    "MailingAddressFaxNumber": "704-332-0124",
    "FirstLinePracticeLocationAddress": "117 W MEDICAL CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARION",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28752-5590",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "828-659-3966",
    "PracticeLocationAddressFaxNumber": "828-659-6304",
    "EnumerationDate": "09/22/2014",
    "LastUpdateDate": "03/04/2020",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "P008238",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "C012101",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "P008238",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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