{
"Npi": {
"NPI": "1538981667",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BENEDEK",
"FirstName": "ANNA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "ACSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "BENEDEK",
"OtherFirstName": "ANIKO",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "430 E AVENIDA DE LOS ARBOLES STE 205",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "THOUSAND OAKS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91360-3017",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-849-1487",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "430 E AVENIDA DE LOS ARBOLES STE 205",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "THOUSAND OAKS",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91360-3017",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-849-1487",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/29/2024",
"LastUpdateDate": "10/29/2024",
"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": "120176",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}