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1821319666 NPI number — KATHERINE LISTER LCSW

NPI Number: 1821319666
Health Care Provider/Practitioner: KATHERINE LISTER LCSW

Information about “1821319666” NPI (KATHERINE LISTER LCSW) exists in 1821319666 in HTML format HTML  |  1821319666 in plain Text format TXT  |  1821319666 in PDF (Portable Document Format) PDF  |  1821319666 in an XML format XML  formats.

NPI Number : 1821319666 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821319666",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LISTER",
    "FirstName": "KATHERINE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LISTER",
    "OtherFirstName": "KATHERINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LMSW",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "3225 N EVERGREEN DR NE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND RAPIDS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49525",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-364-1500",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5921 MIDDLEFIELD RD",
    "SecondLinePracticeLocationAddress": "SUITE 200",
    "PracticeLocationAddressCityName": "LITTLETON",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80123-2858",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-956-9344",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/16/2010",
    "LastUpdateDate": "08/15/2011",
    "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": "1588",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "6801089973",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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