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1710427430 NPI number — DENISE WEISFELDER LISW-S

NPI Number: 1710427430
Health Care Provider/Practitioner: DENISE WEISFELDER LISW-S

Information about “1710427430” NPI (DENISE WEISFELDER LISW-S) exists in 1710427430 in HTML format HTML  |  1710427430 in plain Text format TXT  |  1710427430 in PDF (Portable Document Format) PDF  |  1710427430 in an XML format XML  formats.

NPI Number : 1710427430 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710427430",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WEISFELDER",
    "FirstName": "DENISE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LISW-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "CROWN CENTER II",
    "SecondLineMailingAddress": "5001 ROCKSIDE RD",
    "MailingAddressCityName": "INDEPENDENCE",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44131",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5001 ROCKSIDE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDEPENDENCE",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44131-2172",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-986-4000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/28/2017",
    "LastUpdateDate": "12/10/2021",
    "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": "I 0009513 SUPV",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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