{
"Npi": {
"NPI": "1891818589",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DIPAOLA",
"FirstName": "CAROL",
"MiddleName": "LYNN",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LICENSED CLINICAL SO",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KATCHIK",
"OtherFirstName": "CAROL",
"OtherMiddleName": "LYNN",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "MSW BCD",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "71 W MAIN ST STE 306",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FREEHOLD",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07728-2139",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "908-692-0925",
"MailingAddressFaxNumber": "732-252-8612",
"FirstLinePracticeLocationAddress": "71 W MAIN ST STE 306",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FREEHOLD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07728-2139",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "908-692-0925",
"PracticeLocationAddressFaxNumber": "732-252-8612",
"EnumerationDate": "04/09/2007",
"LastUpdateDate": "11/06/2008",
"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": "44SC04970200",
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}