{
"Npi": {
"NPI": "1568743508",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GARROW",
"FirstName": "JOANNA",
"MiddleName": "VICTORIA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4030 W FOUNTAIN RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LUDINGTON",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49431-9519",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "231-233-5663",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "101 S JAMES ST STE 215",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LUDINGTON",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49431-2166",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "231-845-2900",
"PracticeLocationAddressFaxNumber": "231-845-2905",
"EnumerationDate": "09/05/2011",
"LastUpdateDate": "11/20/2020",
"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": "6801091912",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}