{
"Npi": {
"NPI": "1861699514",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KOLB",
"FirstName": "TONI-MARIE",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 74",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ROCKVILLE CENTRE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11571-0074",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "516-299-5373",
"MailingAddressFaxNumber": "516-299-5293",
"FirstLinePracticeLocationAddress": "480 OLD WESTBURY RD",
"SecondLinePracticeLocationAddress": "NORTH SHORE CHILD & FAMILY GUIDANCE CENTER",
"PracticeLocationAddressCityName": "ROSLYN HEIGHTS",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11577-2215",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "516-299-5373",
"PracticeLocationAddressFaxNumber": "516-299-5293",
"EnumerationDate": "06/27/2007",
"LastUpdateDate": "07/08/2007",
"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": "0681741",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}