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1578836607 NPI number — DEEANNA ADALEEN WEBB MSW, LCSW

NPI Number: 1578836607
Health Care Provider/Practitioner: DEEANNA ADALEEN WEBB MSW, LCSW

Information about “1578836607” NPI (DEEANNA ADALEEN WEBB MSW, LCSW) exists in 1578836607 in HTML format HTML  |  1578836607 in plain Text format TXT  |  1578836607 in PDF (Portable Document Format) PDF  |  1578836607 in an XML format XML  formats.

NPI Number : 1578836607 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578836607",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEBB",
    "FirstName": "DEEANNA",
    "MiddleName": "ADALEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9615 E 148TH ST",
    "SecondLineMailingAddress": "SUITE 1",
    "MailingAddressCityName": "NOBLESVILLE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46060-4360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-587-0500",
    "MailingAddressFaxNumber": "317-674-0060",
    "FirstLinePracticeLocationAddress": "10731 N STATE ROAD 13",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ELWOOD",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46036-8874",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-574-1254",
    "PracticeLocationAddressFaxNumber": "317-674-0060",
    "EnumerationDate": "02/21/2012",
    "LastUpdateDate": "05/12/2015",
    "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": "34006416A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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