{
"Npi": {
"NPI": "1568650240",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JEWELL",
"FirstName": "ERIKA",
"MiddleName": "K",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LCSW, ACM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "JEWELL",
"OtherFirstName": "ERIKA",
"OtherMiddleName": "K",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2801 ATLANTIC AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LONG BEACH",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90806-1701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "562-933-0045",
"MailingAddressFaxNumber": "562-933-8016",
"FirstLinePracticeLocationAddress": "1201 W LA VETA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ORANGE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92868-4203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "714-509-8521",
"PracticeLocationAddressFaxNumber": "714-509-3648",
"EnumerationDate": "10/09/2007",
"LastUpdateDate": "07/01/2025",
"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": "LCS 23752",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}