{
"Npi": {
"NPI": "1699660852",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "YODER",
"FirstName": "SUZANNA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1900 SILVER LAKE RD NW STE 110",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW BRIGHTON",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55112-1789",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "319-249-0307",
"MailingAddressFaxNumber": "319-358-2367",
"FirstLinePracticeLocationAddress": "1290 JORDAN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORTH LIBERTY",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52317-8020",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "319-356-6352",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/10/2025",
"LastUpdateDate": "10/28/2025",
"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": "130911",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}