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1518212307 NPI number — AMANDA VERONICA DAVIS LCSW

NPI Number: 1518212307
Health Care Provider/Practitioner: AMANDA VERONICA DAVIS LCSW

Information about “1518212307” NPI (AMANDA VERONICA DAVIS LCSW) exists in 1518212307 in HTML format HTML  |  1518212307 in plain Text format TXT  |  1518212307 in PDF (Portable Document Format) PDF  |  1518212307 in an XML format XML  formats.

NPI Number : 1518212307 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518212307",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVIS",
    "FirstName": "AMANDA",
    "MiddleName": "VERONICA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "970 WILLIAMS AVE",
    "SecondLineMailingAddress": "APT 3D",
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11207-8262",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-742-3609",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "970 WILLIAMS AVE",
    "SecondLinePracticeLocationAddress": "APT 3D",
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11207-8262",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "347-742-3609",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/17/2012",
    "LastUpdateDate": "12/01/2014",
    "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": "73-082612",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "72-083915",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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