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1790017531 NPI number — DAUN MARIE WHITTAKER LCSW DTH CPRP

NPI Number: 1790017531
Health Care Provider/Practitioner: DAUN MARIE WHITTAKER LCSW DTH CPRP

Information about “1790017531” NPI (DAUN MARIE WHITTAKER LCSW DTH CPRP) exists in 1790017531 in HTML format HTML  |  1790017531 in plain Text format TXT  |  1790017531 in PDF (Portable Document Format) PDF  |  1790017531 in an XML format XML  formats.

NPI Number : 1790017531 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790017531",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITTAKER",
    "FirstName": "DAUN",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW DTH CPRP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KUCHARSKI",
    "OtherFirstName": "DAUN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW CPRP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "225 W 1ST ST LOWR LEVEL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OSWEGO",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13126-3061",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-402-6908",
    "MailingAddressFaxNumber": "315-342-1133",
    "FirstLinePracticeLocationAddress": "225 W 1ST ST LOWR LEVEL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OSWEGO",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13126-3061",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "315-402-6908",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/04/2010",
    "LastUpdateDate": "01/29/2024",
    "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": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "077411",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "84769",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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