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1558032656 NPI number — CATIA SOFIA BARROS GRACA LMSW

NPI Number: 1558032656
Health Care Provider/Practitioner: CATIA SOFIA BARROS GRACA LMSW

Information about “1558032656” NPI (CATIA SOFIA BARROS GRACA LMSW) exists in 1558032656 in HTML format HTML  |  1558032656 in plain Text format TXT  |  1558032656 in PDF (Portable Document Format) PDF  |  1558032656 in an XML format XML  formats.

NPI Number : 1558032656 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558032656",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARROS GRACA",
    "FirstName": "CATIA",
    "MiddleName": "SOFIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GRACA",
    "OtherFirstName": "CATIA",
    "OtherMiddleName": "SOFIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 12",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLE ISLAND",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11953-0012",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-924-0008",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "35 LONGWOOD RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLE ISLAND",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11953-2045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-924-0008",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2021",
    "LastUpdateDate": "09/28/2021",
    "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": "112207",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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