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1619149259 NPI number — SHARON L WHITNEY LCSW

NPI Number: 1619149259
Health Care Provider/Practitioner: SHARON L WHITNEY LCSW

Information about “1619149259” NPI (SHARON L WHITNEY LCSW) exists in 1619149259 in HTML format HTML  |  1619149259 in plain Text format TXT  |  1619149259 in PDF (Portable Document Format) PDF  |  1619149259 in an XML format XML  formats.

NPI Number : 1619149259 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619149259",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITNEY",
    "FirstName": "SHARON",
    "MiddleName": "L",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KARVETSKI",
    "OtherFirstName": "SHARON",
    "OtherMiddleName": "W",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3003 N CENTRAL AVE",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85012-2902",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "602-685-6000",
    "MailingAddressFaxNumber": "602-685-6001",
    "FirstLinePracticeLocationAddress": "1415 N 1ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85004-1604",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "602-302-7815",
    "PracticeLocationAddressFaxNumber": "602-258-6140",
    "EnumerationDate": "03/24/2008",
    "LastUpdateDate": "03/24/2008",
    "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": "LCSW-10285",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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