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1831792159 NPI number — JORDAN FERRARI CRANDAL LSCSW

NPI Number: 1831792159
Health Care Provider/Practitioner: JORDAN FERRARI CRANDAL LSCSW

Information about “1831792159” NPI (JORDAN FERRARI CRANDAL LSCSW) exists in 1831792159 in HTML format HTML  |  1831792159 in plain Text format TXT  |  1831792159 in PDF (Portable Document Format) PDF  |  1831792159 in an XML format XML  formats.

NPI Number : 1831792159 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831792159",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CRANDAL",
    "FirstName": "JORDAN",
    "MiddleName": "FERRARI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LSCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FERRARI",
    "OtherFirstName": "JORDAN",
    "OtherMiddleName": "SHARMAINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "12062 SGT QUINN CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EL PASO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79908-3250",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "334-412-2048",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "590 MEDICAL CENTER ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT CAVAZOS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76544",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "254-288-8000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/19/2020",
    "LastUpdateDate": "09/26/2024",
    "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": "11642",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "06199",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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