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1700247574 NPI number — KATHERINE ZEISS PHD, LCSW

NPI Number: 1700247574
Health Care Provider/Practitioner: KATHERINE ZEISS PHD, LCSW

Information about “1700247574” NPI (KATHERINE ZEISS PHD, LCSW) exists in 1700247574 in HTML format HTML  |  1700247574 in plain Text format TXT  |  1700247574 in PDF (Portable Document Format) PDF  |  1700247574 in an XML format XML  formats.

NPI Number : 1700247574 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700247574",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZEISS",
    "FirstName": "KATHERINE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHD, LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 24057",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA BARBARA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93121-4057",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-968-1965",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1288 MORRO STREET, STE. 200",
    "SecondLinePracticeLocationAddress": "VETERANS ADMINISTRATION CBOC",
    "PracticeLocationAddressCityName": "SAN LUIS OBISPO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93401",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-968-1965",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/08/2016",
    "LastUpdateDate": "03/08/2016",
    "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": "LCSW27557",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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