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1811931736 NPI number — RANDELL LOUIS HESS MSW

NPI Number: 1811931736
Health Care Provider/Practitioner: RANDELL LOUIS HESS MSW

Information about “1811931736” NPI (RANDELL LOUIS HESS MSW) exists in 1811931736 in HTML format HTML  |  1811931736 in plain Text format TXT  |  1811931736 in PDF (Portable Document Format) PDF  |  1811931736 in an XML format XML  formats.

NPI Number : 1811931736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811931736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HESS",
    "FirstName": "RANDELL",
    "MiddleName": "LOUIS",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "645 DODGE AVENUE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JEFFERSON",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "70121-1209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "504-835-6450",
    "MailingAddressFaxNumber": "504-835-6451",
    "FirstLinePracticeLocationAddress": "300 CODIFER BLVD",
    "SecondLinePracticeLocationAddress": "SUITE C",
    "PracticeLocationAddressCityName": "METAIRIE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70005-3777",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-835-6450",
    "PracticeLocationAddressFaxNumber": "504-835-6451",
    "EnumerationDate": "06/15/2006",
    "LastUpdateDate": "02/15/2011",
    "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": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "927",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "872",
          "LicenseNumberStateCode": "LA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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