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1548410970 NPI number — GENEVIEVE DIAN STRATTMAN LCSW

NPI Number: 1548410970
Health Care Provider/Practitioner: GENEVIEVE DIAN STRATTMAN LCSW

Information about “1548410970” NPI (GENEVIEVE DIAN STRATTMAN LCSW) exists in 1548410970 in HTML format HTML  |  1548410970 in plain Text format TXT  |  1548410970 in PDF (Portable Document Format) PDF  |  1548410970 in an XML format XML  formats.

NPI Number : 1548410970 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548410970",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STRATTMAN",
    "FirstName": "GENEVIEVE",
    "MiddleName": "DIAN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STRATTMAN",
    "OtherFirstName": "GENEVIEVE",
    "OtherMiddleName": "DIAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "8515 S BARNSTABLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST JORDAN",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84081-2904",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-726-4657",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2500 S STATE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTH SALT LAKE",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84115-3164",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "385-646-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/23/2008",
    "LastUpdateDate": "05/31/2022",
    "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": "7130027-3502",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041S0200X",
          "TaxonomyName": "School Social Worker",
          "LicenseNumber": "7130027-3502",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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