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1841951084 NPI number — MORGAN LYNN SUTTER GRESS LCSW

NPI Number: 1841951084
Health Care Provider/Practitioner: MORGAN LYNN SUTTER GRESS LCSW

Information about “1841951084” NPI (MORGAN LYNN SUTTER GRESS LCSW) exists in 1841951084 in HTML format HTML  |  1841951084 in plain Text format TXT  |  1841951084 in PDF (Portable Document Format) PDF  |  1841951084 in an XML format XML  formats.

NPI Number : 1841951084 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841951084",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SUTTER GRESS",
    "FirstName": "MORGAN",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3328 S 59TH AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CICERO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60804-3818",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-628-7883",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3411 W DIVERSEY AVE STE 14",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60647-1245",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "224-534-0331",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/09/2022",
    "LastUpdateDate": "01/09/2022",
    "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": "149.023722",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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