{
"Npi": {
"NPI": "1700901105",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LANGEN",
"FirstName": "TAMARA",
"MiddleName": "L",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MSW, LISW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5910 GRAZING CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MASON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45040-3642",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "513-863-6129",
"MailingAddressFaxNumber": "513-863-0524",
"FirstLinePracticeLocationAddress": "140 N 5TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAMILTON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45011-3532",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "513-863-6129",
"PracticeLocationAddressFaxNumber": "513-863-0524",
"EnumerationDate": "03/21/2007",
"LastUpdateDate": "07/08/2007",
"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": "I5501",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}