NPI Code Detail JSON Logo

1538744693 NPI number — ANGELA MADISON MOHAMED LMSW

NPI Number: 1538744693
Health Care Provider/Practitioner: ANGELA MADISON MOHAMED LMSW

Information about “1538744693” NPI (ANGELA MADISON MOHAMED LMSW) exists in 1538744693 in HTML format HTML  |  1538744693 in plain Text format TXT  |  1538744693 in PDF (Portable Document Format) PDF  |  1538744693 in an XML format XML  formats.

NPI Number : 1538744693 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538744693",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOHAMED",
    "FirstName": "ANGELA",
    "MiddleName": "MADISON",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BHOWAL",
    "OtherFirstName": "ANGELA",
    "OtherMiddleName": "MADISON",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "44 LEWIS CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTINGTON STATION",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11746-1113",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-273-0267",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10470 QUEENS BLVD FL 2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FOREST HILLS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11375-3638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-275-6010",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/10/2021",
    "LastUpdateDate": "10/09/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "08/24/2021",
    "NPIReactivationDate": "10/29/2021",
    "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": "114308",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.