{
"Npi": {
"NPI": "1811519986",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SIEVERS",
"FirstName": "KENDRA",
"MiddleName": "A",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5410 BRIXHAM CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURKE",
"MailingAddressStateName": "VA",
"MailingAddressPostalCode": "22015",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "703-615-1870",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "SEVEN CORNERS PSYCHOTHERAPY",
"SecondLinePracticeLocationAddress": "6059 B ARLINGTON BLVD",
"PracticeLocationAddressCityName": "FALLS CHURCH",
"PracticeLocationAddressStateName": "VA",
"PracticeLocationAddressPostalCode": "22044",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "703-615-1870",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/12/2020",
"LastUpdateDate": "10/03/2021",
"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": "0904013104",
"LicenseNumberStateCode": "VA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}