{
"Npi": {
"NPI": "1902029440",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CHASE",
"FirstName": "ERICA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LICSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MONIZ",
"OtherFirstName": "ERICA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "375 OAK HILL AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEEKONK",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "02771-1008",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-523-2530",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "237 FRONT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02865-2035",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-475-0653",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/11/2007",
"LastUpdateDate": "10/09/2015",
"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": "ISW02080",
"LicenseNumberStateCode": "RI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}