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1538720677 NPI number — KYLA NICOLE SKIFFER LMSW

NPI Number: 1538720677
Health Care Provider/Practitioner: KYLA NICOLE SKIFFER LMSW

Information about “1538720677” NPI (KYLA NICOLE SKIFFER LMSW) exists in 1538720677 in HTML format HTML  |  1538720677 in plain Text format TXT  |  1538720677 in PDF (Portable Document Format) PDF  |  1538720677 in an XML format XML  formats.

NPI Number : 1538720677 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538720677",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SKIFFER",
    "FirstName": "KYLA",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SKIFFER",
    "OtherFirstName": "KYLA",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "24765 HANOVER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DEARBORN HEIGHTS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48125-1827",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "313-485-7927",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "24765 HANOVER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEARBORN HEIGHTS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48125-1827",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "313-485-7927",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2019",
    "LastUpdateDate": "11/29/2022",
    "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": "6801105187",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "6801105187",
          "LicenseNumberStateCode": "MI",
          "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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