{
"Npi": {
"NPI": "1699464602",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ZELL",
"FirstName": "SARAH",
"MiddleName": "KATHERINE-BRACKIN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LISW-CP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ZELL",
"OtherFirstName": "SARAH",
"OtherMiddleName": "K",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMSW, INC.",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "301 KELLWOOD WAY",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COLUMBIA",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29229-7578",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-348-8282",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "301 KELLWOOD WAY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLUMBIA",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29229-7578",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-348-8282",
"PracticeLocationAddressFaxNumber": "803-381-9285",
"EnumerationDate": "05/04/2023",
"LastUpdateDate": "03/19/2024",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "15959",
"LicenseNumberStateCode": "SC",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}