NPI Code Detail JSON Logo

1538021761 NPI number — RISE WITHIN THERAPY STUDIO LICENSED CLINICAL SOCIAL WORKER SERVICES INC

NPI Number: 1538021761
Health Care Provider/Practitioner: RISE WITHIN THERAPY STUDIO LICENSED CLINICAL SOCIAL WORKER SERVICES INC

Information about “1538021761” NPI (RISE WITHIN THERAPY STUDIO LICENSED CLINICAL SOCIAL WORKER SERVICES INC) exists in 1538021761 in HTML format HTML  |  1538021761 in plain Text format TXT  |  1538021761 in PDF (Portable Document Format) PDF  |  1538021761 in an XML format XML  formats.

NPI Number : 1538021761 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538021761",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RISE WITHIN THERAPY STUDIO LICENSED CLINICAL SOCIAL WORKER SERVICES INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1220 HOWARD AVE STE 230",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURLINGAME",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94010-4252",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "857-312-8372",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1220 HOWARD AVE STE 230",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURLINGAME",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94010-4252",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "857-312-8372",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/25/2025",
    "LastUpdateDate": "01/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TIWARI",
    "AuthorizedOfficialFirstName": "MARIANA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "FOUNDER / OWNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "857-312-8372",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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