1538310115 NPI number — LINDA ANN MOLINA L.C.S.W.

NPI Number: 1538310115
Health Care Provider/Practitioner: LINDA ANN MOLINA L.C.S.W.

NPI Number : 1538310115 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538310115",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOLINA",
    "FirstName": "LINDA",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "L.C.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOLINA",
    "OtherFirstName": "LINDA",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "L.C.S.W.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1030 W WARNER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA ANA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92707-3147",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-834-6915",
    "MailingAddressFaxNumber": "714-850-1066",
    "FirstLinePracticeLocationAddress": "1030 W WARNER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92707-3147",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-834-6915",
    "PracticeLocationAddressFaxNumber": "714-850-1066",
    "EnumerationDate": "10/01/2008",
    "LastUpdateDate": "03/23/2009",
    "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": "LCS 15450",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}