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1669603221 NPI number — LAMORA D PACE LCSW

NPI Number: 1669603221
Health Care Provider/Practitioner: LAMORA D PACE LCSW

Information about “1669603221” NPI (LAMORA D PACE LCSW) exists in 1669603221 in HTML format HTML  |  1669603221 in plain Text format TXT  |  1669603221 in PDF (Portable Document Format) PDF  |  1669603221 in an XML format XML  formats.

NPI Number : 1669603221 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669603221",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PACE",
    "FirstName": "LAMORA",
    "MiddleName": "D",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PACE",
    "OtherFirstName": "LAMORA",
    "OtherMiddleName": "D",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW, CAP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2500 HOLLYWOOD BLVD STE 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLLYWOOD",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33020-6615",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "754-777-6871",
    "MailingAddressFaxNumber": "965-906-3619",
    "FirstLinePracticeLocationAddress": "2500 HOLLYWOOD BLVD STE 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLYWOOD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33020-6615",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "754-777-6871",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2009",
    "LastUpdateDate": "03/13/2024",
    "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": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CAP ADC-001430-2014",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW9459",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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