NPI Code Detail JSON Logo

1528404605 NPI number — GAIL LYNN NEISH LMSW

NPI Number: 1528404605
Health Care Provider/Practitioner: GAIL LYNN NEISH LMSW

Information about “1528404605” NPI (GAIL LYNN NEISH LMSW) exists in 1528404605 in HTML format HTML  |  1528404605 in plain Text format TXT  |  1528404605 in PDF (Portable Document Format) PDF  |  1528404605 in an XML format XML  formats.

NPI Number : 1528404605 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1528404605",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NEISH",
    "FirstName": "GAIL",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 17",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CONNELLY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12417-0017",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-802-0006",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "239 GOLDEN HILL LN",
    "SecondLinePracticeLocationAddress": "100",
    "PracticeLocationAddressCityName": "KINGSTON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12401-6441",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-871-1182",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/16/2013",
    "LastUpdateDate": "05/16/2013",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "0753391",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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