{
"Npi": {
"NPI": "1679389688",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CASTANEDA",
"FirstName": "VANESSA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "11433 E 24TH LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YUMA",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85367-3634",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "818-383-3701",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "7201 E 31ST PL",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YUMA",
"PracticeLocationAddressStateName": "ARIZONA",
"PracticeLocationAddressPostalCode": "85365",
"PracticeLocationAddressCountryCode": "UM",
"PracticeLocationAddressTelephoneNumber": "928-336-5660",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/04/2024",
"LastUpdateDate": "12/04/2024",
"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": null,
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}