{
"Npi": {
"NPI": "1881817120",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "GONZALEZ",
"FirstName": "MARIA",
"MiddleName": "LEONOR",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "ACSW LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "GONZALEZ",
"OtherFirstName": "LEONOR",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "ACSW LCSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "6318 RICHMOND AVE",
"SecondLineMailingAddress": "#2104",
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75214",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-714-5524",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6318 RICHMOND AVE",
"SecondLinePracticeLocationAddress": "NUMBER 2104",
"PracticeLocationAddressCityName": "DALLAS",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75214-3681",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "214-370-9884",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/11/2007",
"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": "01213",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}