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1760577746 NPI number — MICHAEL E. PORTMAN MSW, LISW

NPI Number: 1760577746
Health Care Provider/Practitioner: MICHAEL E. PORTMAN MSW, LISW

Information about “1760577746” NPI (MICHAEL E. PORTMAN MSW, LISW) exists in 1760577746 in HTML format HTML  |  1760577746 in plain Text format TXT  |  1760577746 in PDF (Portable Document Format) PDF  |  1760577746 in an XML format XML  formats.

NPI Number : 1760577746 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760577746",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PORTMAN",
    "FirstName": "MICHAEL",
    "MiddleName": "E.",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MSW, LISW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PORTMAN",
    "OtherFirstName": "MICHAEL",
    "OtherMiddleName": "E.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSW, LISW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3542 SEVERN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLEVELAND HTS",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44118-1905",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10701 EAST BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLEVELAND",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44106-1702",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "216-791-3800",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "I0008341",
        "LicenseNumberStateCode": "OH",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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