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1518403625 NPI number — ERIKA LATISHA HOLLIDAY LCSW

NPI Number: 1518403625
Health Care Provider/Practitioner: ERIKA LATISHA HOLLIDAY LCSW

Information about “1518403625” NPI (ERIKA LATISHA HOLLIDAY LCSW) exists in 1518403625 in HTML format HTML  |  1518403625 in plain Text format TXT  |  1518403625 in PDF (Portable Document Format) PDF  |  1518403625 in an XML format XML  formats.

NPI Number : 1518403625 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518403625",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOLLIDAY",
    "FirstName": "ERIKA",
    "MiddleName": "LATISHA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOLLIDAY-WALKER",
    "OtherFirstName": "ERIKA",
    "OtherMiddleName": "LATISHA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "13500 RIDGEMOOR DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDLOTHIAN",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23114-5545",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-908-0309",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1500 BROOK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RICHMOND",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23220-2308",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-225-9144",
    "PracticeLocationAddressFaxNumber": "804-225-9145",
    "EnumerationDate": "01/12/2017",
    "LastUpdateDate": "09/06/2023",
    "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": "0904008195",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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