NPI Code Detail JSON Logo

1508739889 NPI number — DAVID D MCCOY LSW

NPI Number: 1508739889
Health Care Provider/Practitioner: DAVID D MCCOY LSW

Information about “1508739889” NPI (DAVID D MCCOY LSW) exists in 1508739889 in HTML format HTML  |  1508739889 in plain Text format TXT  |  1508739889 in PDF (Portable Document Format) PDF  |  1508739889 in an XML format XML  formats.

NPI Number : 1508739889 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508739889",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCOY",
    "FirstName": "DAVID",
    "MiddleName": "D",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "EVANS",
    "OtherFirstName": "DAVID",
    "OtherMiddleName": "D",
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1431 S HICKS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHILADELPHIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19146-4818",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-296-9528",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "42 DELSEA DR S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLASSBORO",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08028-2621",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "844-422-3632",
    "PracticeLocationAddressFaxNumber": "856-881-5508",
    "EnumerationDate": "09/24/2025",
    "LastUpdateDate": "09/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "44SL07287800",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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