NPI Code Detail JSON Logo

1649743717 NPI number — ILANA MOLKNER MSW, LCSW

NPI Number: 1649743717
Health Care Provider/Practitioner: ILANA MOLKNER MSW, LCSW

Information about “1649743717” NPI (ILANA MOLKNER MSW, LCSW) exists in 1649743717 in HTML format HTML  |  1649743717 in plain Text format TXT  |  1649743717 in PDF (Portable Document Format) PDF  |  1649743717 in an XML format XML  formats.

NPI Number : 1649743717 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649743717",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOLKNER",
    "FirstName": "ILANA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TERES",
    "OtherFirstName": "ILANA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MPH",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3830 VALLEY CENTRE DR",
    "SecondLineMailingAddress": "STE 705 PMB 813",
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92130-3320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "858-342-9286",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1337 CAMINO DEL MAR STE B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEL MAR",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92014-2504",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "858-342-9286",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/10/2019",
    "LastUpdateDate": "09/02/2025",
    "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": "09931945",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "102400",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.