{
"Npi": {
"NPI": "1700706991",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PISETZNER",
"FirstName": "ELIANA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "607 N JEROME AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARGATE CITY",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "08402-1527",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "609-822-1108",
"MailingAddressFaxNumber": "609-822-1106",
"FirstLinePracticeLocationAddress": "1 ENTERPRISE DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CAPE MAY COURT HOUSE",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "08210-3504",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "609-778-3100",
"PracticeLocationAddressFaxNumber": "609-822-1106",
"EnumerationDate": "07/17/2026",
"LastUpdateDate": "07/17/2026",
"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": "44SL07193100",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}