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1568639631 NPI number — ERICA LATRICE SMITH MSW, LCSW

NPI Number: 1568639631
Health Care Provider/Practitioner: ERICA LATRICE SMITH MSW, LCSW

Information about “1568639631” NPI (ERICA LATRICE SMITH MSW, LCSW) exists in 1568639631 in HTML format HTML  |  1568639631 in plain Text format TXT  |  1568639631 in PDF (Portable Document Format) PDF  |  1568639631 in an XML format XML  formats.

NPI Number : 1568639631 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568639631",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "ERICA",
    "MiddleName": "LATRICE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15350 AMBERLY DR",
    "SecondLineMailingAddress": "#3424",
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33647-1602",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-217-3098",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 TAMPA GENERAL CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TAMPA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33606-3571",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-844-4954",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/08/2008",
    "LastUpdateDate": "09/22/2011",
    "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": "SW10522",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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