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1801990189 NPI number — PRABHAKAR VASAN LCSW

NPI Number: 1801990189
Health Care Provider/Practitioner: PRABHAKAR VASAN LCSW

Information about “1801990189” NPI (PRABHAKAR VASAN LCSW) exists in 1801990189 in HTML format HTML  |  1801990189 in plain Text format TXT  |  1801990189 in PDF (Portable Document Format) PDF  |  1801990189 in an XML format XML  formats.

NPI Number : 1801990189 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801990189",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VASAN",
    "FirstName": "PRABHAKAR",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VASAN",
    "OtherFirstName": "PRABU",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MR.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "441 W 26 ST",
    "SecondLineMailingAddress": "THE HUDSON GUILD",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-760-9822",
    "MailingAddressFaxNumber": "212-760-9826",
    "FirstLinePracticeLocationAddress": "441 W 26TH ST RM 122",
    "SecondLinePracticeLocationAddress": "THE HUDSON GUILD",
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10001-5629",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-760-9822",
    "PracticeLocationAddressFaxNumber": "212-760-9826",
    "EnumerationDate": "09/08/2006",
    "LastUpdateDate": "11/24/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "104100000X",
        "TaxonomyName": "Social Worker",
        "LicenseNumber": "0695341",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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