{
"Npi": {
"NPI": "1659197077",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GREEN WOODS",
"FirstName": "KALI",
"MiddleName": "MARIN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LICSWA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GREE",
"OtherFirstName": "KALI",
"OtherMiddleName": "MARIN",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "200 N BERNARD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPOKANE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "99201-0206",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "509-354-7946",
"MailingAddressFaxNumber": "509-835-1281",
"FirstLinePracticeLocationAddress": "200 N BERNARD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPOKANE",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "99201-0206",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "509-354-7946",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/02/2024",
"LastUpdateDate": "12/02/2024",
"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": "SC61580764",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}