{
"Npi": {
"NPI": "1699158774",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "JOST",
"FirstName": "ALISON",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LICSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FENGHI",
"OtherFirstName": "ALISON",
"OtherMiddleName": "JOST",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LICSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "95 CIRCULAR AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMDEN",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06514-4004",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-288-6253",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "950 WARREN AVE STE 104",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "EAST PROVIDENCE",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02914-1432",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-606-3711",
"PracticeLocationAddressFaxNumber": "401-606-3712",
"EnumerationDate": "07/07/2015",
"LastUpdateDate": "11/14/2019",
"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": "ISW02650",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}