{
"Npi": {
"NPI": "1619008992",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DENATALE",
"FirstName": "LAURA",
"MiddleName": "MICK",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "PH.D., L.C.S.W.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "OROGUN",
"OtherFirstName": "LAURA",
"OtherMiddleName": "MICK",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "L.C.S.W.",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "6700 N MAPLEWOOD AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CHICAGO",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60645-4620",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-602-2876",
"MailingAddressFaxNumber": "847-602-2876",
"FirstLinePracticeLocationAddress": "636 CHURCH ST STE 406",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EVANSTON",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60201-4580",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-602-2876",
"PracticeLocationAddressFaxNumber": "847-602-2876",
"EnumerationDate": "03/08/2007",
"LastUpdateDate": "10/09/2019",
"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": "0149008148",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}