NPI Code Detail JSON Logo

1770956013 NPI number — COLLETTE NICOLE BISHOP MSW, LICSW

NPI Number: 1770956013
Health Care Provider/Practitioner: COLLETTE NICOLE BISHOP MSW, LICSW

Information about “1770956013” NPI (COLLETTE NICOLE BISHOP MSW, LICSW) exists in 1770956013 in HTML format HTML  |  1770956013 in plain Text format TXT  |  1770956013 in PDF (Portable Document Format) PDF  |  1770956013 in an XML format XML  formats.

NPI Number : 1770956013 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770956013",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BISHOP",
    "FirstName": "COLLETTE",
    "MiddleName": "NICOLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7919 31ST ST W",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "UNIVERSITY PLACE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98466-3303",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "206-949-9805",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "614 W MCGRAW ST STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98119-3073",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-949-9805",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/09/2015",
    "LastUpdateDate": "05/14/2020",
    "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": "60589133",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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