{
"Npi": {
"NPI": "1548419062",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALVAREZ-NYANTE",
"FirstName": "ELIZABETH",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LICSW, LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1001 PARTRIDGE DR STE 110",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "VENTURA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93003-0714",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-282-1778",
"MailingAddressFaxNumber": "415-296-5299",
"FirstLinePracticeLocationAddress": "1001 PARTRIDGE DR STE 110",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "VENTURA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93003-0714",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "925-282-1778",
"PracticeLocationAddressFaxNumber": "415-296-5299",
"EnumerationDate": "09/09/2008",
"LastUpdateDate": "04/10/2024",
"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": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "214102",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "115294",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "120006",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}