{
"Npi": {
"NPI": "1770001026",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CLAUDIA ROSENBERG PHD LCSW LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "664 LESLIE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "YARDLEY",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19067-4468",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "267-209-3005",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1262 WOOD LN STE 206",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LANGHORNE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19047-4251",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "267-209-3005",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/07/2017",
"LastUpdateDate": "06/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROSENBERG",
"AuthorizedOfficialFirstName": "CLAUDIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SOLE MEMBER-CLINICIAN",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LCSW",
"AuthorizedOfficialTelephoneNumber": "267-209-3005",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM0850X",
"TaxonomyName": "Adult Mental Health Clinic/Center",
"LicenseNumber": "CW016234",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}