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1750846804 NPI number — PILAR NATALIA LEIVA-DIBAN LCSW

NPI Number: 1750846804
Health Care Provider/Practitioner: PILAR NATALIA LEIVA-DIBAN LCSW

Information about “1750846804” NPI (PILAR NATALIA LEIVA-DIBAN LCSW) exists in 1750846804 in HTML format HTML  |  1750846804 in plain Text format TXT  |  1750846804 in PDF (Portable Document Format) PDF  |  1750846804 in an XML format XML  formats.

NPI Number : 1750846804 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750846804",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LEIVA-DIBAN",
    "FirstName": "PILAR",
    "MiddleName": "NATALIA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HENDRIKS",
    "OtherFirstName": "PILAR",
    "OtherMiddleName": "NATALIA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "109 N GARFIELD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STERLING",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20164-2605",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-420-4129",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "46050 MANEKIN PLZ STE 110",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STERLING",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20166-6519",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "571-665-6723",
    "PracticeLocationAddressFaxNumber": "571-665-6720",
    "EnumerationDate": "02/04/2019",
    "LastUpdateDate": "02/26/2019",
    "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": "0904010121",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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