{
"Npi": {
"NPI": "1760310544",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LASALLE",
"FirstName": "COURTNEY",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LMSW P",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MARTINI",
"OtherFirstName": "COURTNEY",
"OtherMiddleName": "MARIE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "LMSW P",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "15857 COUNTY HIGHWAY 23",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNADILLA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "13849-2319",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "607-337-1600",
"MailingAddressFaxNumber": "607-334-4519",
"FirstLinePracticeLocationAddress": "5 COURT ST STE 42",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORWICH",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13815-1695",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-337-1600",
"PracticeLocationAddressFaxNumber": "607-337-1600",
"EnumerationDate": "05/12/2026",
"LastUpdateDate": "05/12/2026",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "P141515",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}