NPI Code Detail JSON Logo

1518765635 NPI number — ALICIA NOFFZE LGSW

NPI Number: 1518765635
Health Care Provider/Practitioner: ALICIA NOFFZE LGSW

Information about “1518765635” NPI (ALICIA NOFFZE LGSW) exists in 1518765635 in HTML format HTML  |  1518765635 in plain Text format TXT  |  1518765635 in PDF (Portable Document Format) PDF  |  1518765635 in an XML format XML  formats.

NPI Number : 1518765635 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518765635",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOFFZE",
    "FirstName": "ALICIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LGSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NELSON",
    "OtherFirstName": "ALICIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LGSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1295 BANDANA BLVD N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT PAUL",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55108-5126",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2230 COMO AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PAUL",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55108-1720",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-364-5977",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/05/2025",
    "LastUpdateDate": "03/05/2025",
    "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": "32456",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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