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1700285707 NPI number — YUN-HYEANG STELLA JANG LCSW

NPI Number: 1700285707
Health Care Provider/Practitioner: YUN-HYEANG STELLA JANG LCSW

Information about “1700285707” NPI (YUN-HYEANG STELLA JANG LCSW) exists in 1700285707 in HTML format HTML  |  1700285707 in plain Text format TXT  |  1700285707 in PDF (Portable Document Format) PDF  |  1700285707 in an XML format XML  formats.

NPI Number : 1700285707 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700285707",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JANG",
    "FirstName": "YUN-HYEANG",
    "MiddleName": "STELLA",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JANG",
    "OtherFirstName": "STELLA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "545 RIVER RD # 1025",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EDGEWATER",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07020-1146",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-703-3050",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "250 BROAD AVE",
    "SecondLinePracticeLocationAddress": "APT 1A",
    "PracticeLocationAddressCityName": "LEONIA",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07605",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-703-3050",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/15/2014",
    "LastUpdateDate": "06/10/2021",
    "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": "44SC05566100",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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