{
"Npi": {
"NPI": "1851282933",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LAUB",
"FirstName": "JORDYN",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "SCHRAD",
"OtherFirstName": "JORDAN",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "700 MASSACHUSETTS AVE FL 3",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAMBRIDGE",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02139-3345",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-500-2067",
"MailingAddressFaxNumber": "617-649-8520",
"FirstLinePracticeLocationAddress": "73 W MONROE ST STE 422",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CHICAGO",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60603-4955",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-500-2067",
"PracticeLocationAddressFaxNumber": "617-649-8520",
"EnumerationDate": "07/15/2025",
"LastUpdateDate": "07/28/2025",
"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": "150.114410",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}