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1912634098 NPI number — TYLYN BELTON LMSW

NPI Number: 1912634098
Health Care Provider/Practitioner: TYLYN BELTON LMSW

Information about “1912634098” NPI (TYLYN BELTON LMSW) exists in 1912634098 in HTML format HTML  |  1912634098 in plain Text format TXT  |  1912634098 in PDF (Portable Document Format) PDF  |  1912634098 in an XML format XML  formats.

NPI Number : 1912634098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912634098",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BELTON",
    "FirstName": "TYLYN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "712 LARCHMONT ACRES # 712A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LARCHMONT",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10538-7356",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-893-1271",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1156 N BROADWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YONKERS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10701-1108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "914-798-5599",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2022",
    "LastUpdateDate": "08/08/2022",
    "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": "116173",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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