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1659640910 NPI number — MELISSA SMYSER M.S.W, L.M.S.W

NPI Number: 1659640910
Health Care Provider/Practitioner: MELISSA SMYSER M.S.W, L.M.S.W

Information about “1659640910” NPI (MELISSA SMYSER M.S.W, L.M.S.W) exists in 1659640910 in HTML format HTML  |  1659640910 in plain Text format TXT  |  1659640910 in PDF (Portable Document Format) PDF  |  1659640910 in an XML format XML  formats.

NPI Number : 1659640910 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659640910",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMYSER",
    "FirstName": "MELISSA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S.W, L.M.S.W",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "409 VANDIVER DR",
    "SecondLineMailingAddress": "BUILDING 5 STE 203",
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "MO",
    "MailingAddressPostalCode": "65202-3754",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "573-442-9916",
    "MailingAddressFaxNumber": "573-442-9915",
    "FirstLinePracticeLocationAddress": "409 VANDIVER DR",
    "SecondLinePracticeLocationAddress": "BUILDING 5 STE 203",
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "65202-3754",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "573-442-9916",
    "PracticeLocationAddressFaxNumber": "573-442-9915",
    "EnumerationDate": "12/15/2011",
    "LastUpdateDate": "12/15/2011",
    "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": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "2011035684",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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