{
"Npi": {
"NPI": "1750691473",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CALVERT",
"FirstName": "JESSICA",
"MiddleName": "RACHEL",
"NamePrefix": "MISS",
"NameSuffix": null,
"Credential": "LSCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7131 W 135TH ST # 1169",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OVERLAND PARK",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66223-1238",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-355-6820",
"MailingAddressFaxNumber": "913-490-1904",
"FirstLinePracticeLocationAddress": "19655 W 105TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OLATHE",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "66061-7516",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-710-2631",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/15/2010",
"LastUpdateDate": "06/19/2024",
"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": "2017044320",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "05739",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}