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1730412032 NPI number — LISA MARIETTA BELLECCI-ST.ROMAIN LSCSW

NPI Number: 1730412032
Health Care Provider/Practitioner: LISA MARIETTA BELLECCI-ST.ROMAIN LSCSW

Information about “1730412032” NPI (LISA MARIETTA BELLECCI-ST.ROMAIN LSCSW) exists in 1730412032 in HTML format HTML  |  1730412032 in plain Text format TXT  |  1730412032 in PDF (Portable Document Format) PDF  |  1730412032 in an XML format XML  formats.

NPI Number : 1730412032 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730412032",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BELLECCI-ST.ROMAIN",
    "FirstName": "LISA",
    "MiddleName": "MARIETTA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LSCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BELLECCI",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "MARIETTA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LSCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "221 S. BROADWAY",
    "SecondLineMailingAddress": "SUITE 608",
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67202-4213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-259-3160",
    "MailingAddressFaxNumber": "888-711-4131",
    "FirstLinePracticeLocationAddress": "221 S. BROADWAY",
    "SecondLinePracticeLocationAddress": "SUITE 608",
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67202-4213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-259-3160",
    "PracticeLocationAddressFaxNumber": "888-711-4131",
    "EnumerationDate": "09/18/2009",
    "LastUpdateDate": "08/10/2012",
    "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": "4156 LSCSW",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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