NPI Code Detail JSON Logo

1770688657 NPI number — JANE L WATSON LCSW

NPI Number: 1770688657
Health Care Provider/Practitioner: JANE L WATSON LCSW

Information about “1770688657” NPI (JANE L WATSON LCSW) exists in 1770688657 in HTML format HTML  |  1770688657 in plain Text format TXT  |  1770688657 in PDF (Portable Document Format) PDF  |  1770688657 in an XML format XML  formats.

NPI Number : 1770688657 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770688657",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WATSON",
    "FirstName": "JANE",
    "MiddleName": "L",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PFEIFER-WATSON",
    "OtherFirstName": "JANIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2608 OLD FAIR RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND ISLAND",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68803-5271",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-382-5297",
    "MailingAddressFaxNumber": "308-382-5315",
    "FirstLinePracticeLocationAddress": "2608 OLD FAIR RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND ISLAND",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68803-5271",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-382-5297",
    "PracticeLocationAddressFaxNumber": "308-382-5315",
    "EnumerationDate": "09/14/2006",
    "LastUpdateDate": "09/11/2025",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "810",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "660",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.