NPI Code Detail JSON Logo

1679796718 NPI number — VIVIAN S SEWELL LCPC, NCC, OTR/L

NPI Number: 1679796718
Health Care Provider/Practitioner: VIVIAN S SEWELL LCPC, NCC, OTR/L

Information about “1679796718” NPI (VIVIAN S SEWELL LCPC, NCC, OTR/L) exists in 1679796718 in HTML format HTML  |  1679796718 in plain Text format TXT  |  1679796718 in PDF (Portable Document Format) PDF  |  1679796718 in an XML format XML  formats.

NPI Number : 1679796718 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679796718",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEWELL",
    "FirstName": "VIVIAN",
    "MiddleName": "S",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCPC, NCC, OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SEWELL",
    "OtherFirstName": "VIVAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FAHEY",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 973",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WESTMINSTER",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21158-0973",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-848-5785",
    "MailingAddressFaxNumber": "410-848-5629",
    "FirstLinePracticeLocationAddress": "24 N. MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOONSBORO",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21713",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-991-5973",
    "PracticeLocationAddressFaxNumber": "410-848-5629",
    "EnumerationDate": "04/10/2007",
    "LastUpdateDate": "09/10/2020",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.