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1609767359 NPI number — LIBBY SHANNON LORRON MSW, LICSW

NPI Number: 1609767359
Health Care Provider/Practitioner: LIBBY SHANNON LORRON MSW, LICSW

Information about “1609767359” NPI (LIBBY SHANNON LORRON MSW, LICSW) exists in 1609767359 in HTML format HTML  |  1609767359 in plain Text format TXT  |  1609767359 in PDF (Portable Document Format) PDF  |  1609767359 in an XML format XML  formats.

NPI Number : 1609767359 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609767359",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LORRON",
    "FirstName": "LIBBY",
    "MiddleName": "SHANNON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOUGH",
    "OtherFirstName": "LIBBY",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4240 PARK GLEN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ST LOUIS PARK",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55416-5427",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "612-925-6033",
    "MailingAddressFaxNumber": "612-925-8496",
    "FirstLinePracticeLocationAddress": "14800 GALAXIE AVE STE 305",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APPLE VALLEY",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55124-4530",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-432-1484",
    "PracticeLocationAddressFaxNumber": "952-432-2328",
    "EnumerationDate": "07/11/2025",
    "LastUpdateDate": "07/11/2025",
    "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": "27314",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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