NPI Code Detail JSON Logo

1548587330 NPI number — ANDREA DRIGGS MCLEOD LICSW

NPI Number: 1548587330
Health Care Provider/Practitioner: ANDREA DRIGGS MCLEOD LICSW

Information about “1548587330” NPI (ANDREA DRIGGS MCLEOD LICSW) exists in 1548587330 in HTML format HTML  |  1548587330 in plain Text format TXT  |  1548587330 in PDF (Portable Document Format) PDF  |  1548587330 in an XML format XML  formats.

NPI Number : 1548587330 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548587330",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCLEOD",
    "FirstName": "ANDREA",
    "MiddleName": "DRIGGS",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCLEOD",
    "OtherFirstName": "ANDREA",
    "OtherMiddleName": "DRIGGS",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "8626 LEE HWY STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FAIRFAX",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22031-2135",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8626 LEE HWY # 3200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22031-2135",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "513-312-8609",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/03/2010",
    "LastUpdateDate": "04/06/2015",
    "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": "0904008333",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "LC50078988",
          "LicenseNumberStateCode": "DC",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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