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1770789836 NPI number — CHERYL LIEBERMAN L.C.S.W.

NPI Number: 1770789836
Health Care Provider/Practitioner: CHERYL LIEBERMAN L.C.S.W.

Information about “1770789836” NPI (CHERYL LIEBERMAN L.C.S.W.) exists in 1770789836 in HTML format HTML  |  1770789836 in plain Text format TXT  |  1770789836 in PDF (Portable Document Format) PDF  |  1770789836 in an XML format XML  formats.

NPI Number : 1770789836 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770789836",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LIEBERMAN",
    "FirstName": "CHERYL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "L.C.S.W.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LIEBERMAN",
    "OtherFirstName": "CHERIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "L.C.S.W.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1254 BERKELEY ST",
    "SecondLineMailingAddress": "REAR APT",
    "MailingAddressCityName": "SANTA MONICA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90404-1610",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-828-5925",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12304 SANTA MONICA BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 108",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90025-2551",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-828-5925",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/26/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "LCS 23849",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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