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1912493024 NPI number — CHANA A. DERSHOWITZ LCSW

NPI Number: 1912493024
Health Care Provider/Practitioner: CHANA A. DERSHOWITZ LCSW

Information about “1912493024” NPI (CHANA A. DERSHOWITZ LCSW) exists in 1912493024 in HTML format HTML  |  1912493024 in plain Text format TXT  |  1912493024 in PDF (Portable Document Format) PDF  |  1912493024 in an XML format XML  formats.

NPI Number : 1912493024 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912493024",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DERSHOWITZ",
    "FirstName": "CHANA",
    "MiddleName": "A.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "36 KEW GARDENS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08701-7102",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-942-0886",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "545 E COUNTY LINE RD STE 17A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08701-1487",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-330-6191",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/02/2018",
    "LastUpdateDate": "07/02/2018",
    "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": "44SC05775700",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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