NPI Code Detail JSON Logo

1861927428 NPI number — LOGAN PFEIFER LCSW, MSW, CDCA

NPI Number: 1861927428
Health Care Provider/Practitioner: LOGAN PFEIFER LCSW, MSW, CDCA

Information about “1861927428” NPI (LOGAN PFEIFER LCSW, MSW, CDCA) exists in 1861927428 in HTML format HTML  |  1861927428 in plain Text format TXT  |  1861927428 in PDF (Portable Document Format) PDF  |  1861927428 in an XML format XML  formats.

NPI Number : 1861927428 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861927428",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PFEIFER",
    "FirstName": "LOGAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW, MSW, CDCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PFEIFER",
    "OtherFirstName": "LOGAN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LSW, MSW, CDCA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8320 MADISON AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46227-6066",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-882-5122",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8320 MADISON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INDIANAPOLIS",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46227-6066",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-882-5122",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/20/2017",
    "LastUpdateDate": "11/18/2024",
    "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": "S.1600211",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "34009278A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.