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1649663774 NPI number — DANIELLE CHESSER TYLER LCSW-BACS, LCASA

NPI Number: 1649663774
Health Care Provider/Practitioner: DANIELLE CHESSER TYLER LCSW-BACS, LCASA

Information about “1649663774” NPI (DANIELLE CHESSER TYLER LCSW-BACS, LCASA) exists in 1649663774 in HTML format HTML  |  1649663774 in plain Text format TXT  |  1649663774 in PDF (Portable Document Format) PDF  |  1649663774 in an XML format XML  formats.

NPI Number : 1649663774 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649663774",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TYLER",
    "FirstName": "DANIELLE",
    "MiddleName": "CHESSER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW-BACS, LCASA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TYLER-HANSON",
    "OtherFirstName": "DANIELLE",
    "OtherMiddleName": "C",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "320 EDEN ISLES BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SLIDELL",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70458-5570",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-690-3403",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "320 EDEN ISLES BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SLIDELL",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70458-5570",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-690-3403",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/13/2015",
    "LastUpdateDate": "06/27/2023",
    "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": "C010252",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "P008996",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "17591",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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