{
"Npi": {
"NPI": "1629540257",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SANFORD",
"FirstName": "RHONDA",
"MiddleName": "JEAN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WATSON",
"OtherFirstName": "RHONDA",
"OtherMiddleName": "JEAN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "COATESVILLE VAMC, ATTN: RHONDA SANFORD, LCSW,",
"SecondLineMailingAddress": "1400 BLACKHORSE HILL RD, BLDG 57, RM 227",
"MailingAddressCityName": "COATESVILLLE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19320",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-384-7711",
"MailingAddressFaxNumber": "610-383-0264",
"FirstLinePracticeLocationAddress": "COATESVILLE VAMC, ATTN: RHONDA SANFORD, LCSW,",
"SecondLinePracticeLocationAddress": "1400 BLACKHORSE HILL RD, BLDG 57, RM 227",
"PracticeLocationAddressCityName": "COATESVILLLE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19320",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-384-7711",
"PracticeLocationAddressFaxNumber": "610-383-0264",
"EnumerationDate": "12/20/2018",
"LastUpdateDate": "12/20/2018",
"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": "CW016686",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}