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1780914093 NPI number — TOSCA LIEN WILSON MSW

NPI Number: 1780914093
Health Care Provider/Practitioner: TOSCA LIEN WILSON MSW

Information about “1780914093” NPI (TOSCA LIEN WILSON MSW) exists in 1780914093 in HTML format HTML  |  1780914093 in plain Text format TXT  |  1780914093 in PDF (Portable Document Format) PDF  |  1780914093 in an XML format XML  formats.

NPI Number : 1780914093 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780914093",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILSON",
    "FirstName": "TOSCA",
    "MiddleName": "LIEN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILSON-DAVIS",
    "OtherFirstName": "TOSCA",
    "OtherMiddleName": "LIEN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "65 DEROW CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95833-1919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-568-6482",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 FULTON AVE",
    "SecondLinePracticeLocationAddress": "SUITE 205",
    "PracticeLocationAddressCityName": "SACRAMENTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95825-4500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-393-1222",
    "PracticeLocationAddressFaxNumber": "916-484-3570",
    "EnumerationDate": "01/08/2010",
    "LastUpdateDate": "01/11/2022",
    "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": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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