NPI Code Detail JSON Logo

1528374907 NPI number — NANCY JEAN WILLIS LMSW

NPI Number: 1528374907
Health Care Provider/Practitioner: NANCY JEAN WILLIS LMSW

Information about “1528374907” NPI (NANCY JEAN WILLIS LMSW) exists in 1528374907 in HTML format HTML  |  1528374907 in plain Text format TXT  |  1528374907 in PDF (Portable Document Format) PDF  |  1528374907 in an XML format XML  formats.

NPI Number : 1528374907 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528374907",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIS",
    "FirstName": "NANCY",
    "MiddleName": "JEAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILSON",
    "OtherFirstName": "NANCY",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5060 JACKSON RD STE D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ANN ARBOR",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48103-1867",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-627-8001",
    "MailingAddressFaxNumber": "734-433-1989",
    "FirstLinePracticeLocationAddress": "5060 JACKSON RD STE D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANN ARBOR",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48103-1867",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-627-8001",
    "PracticeLocationAddressFaxNumber": "734-433-1989",
    "EnumerationDate": "08/24/2010",
    "LastUpdateDate": "10/29/2025",
    "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": "6801117431",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "M-07172",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "081889-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.