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1912871278 NPI number — CALLIE JO HENRICHS LMSW

NPI Number: 1912871278
Health Care Provider/Practitioner: CALLIE JO HENRICHS LMSW

Information about “1912871278” NPI (CALLIE JO HENRICHS LMSW) exists in 1912871278 in HTML format HTML  |  1912871278 in plain Text format TXT  |  1912871278 in PDF (Portable Document Format) PDF  |  1912871278 in an XML format XML  formats.

NPI Number : 1912871278 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912871278",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENRICHS",
    "FirstName": "CALLIE",
    "MiddleName": "JO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GUTKNECHT",
    "OtherFirstName": "CALLIE",
    "OtherMiddleName": "J",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "NA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2240 9TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CORALVILLE",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "52241-1575",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "319-800-5564",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1220 EDGEBROOK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STORY CITY",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50248-9533",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "319-215-2832",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2025",
    "LastUpdateDate": "09/30/2025",
    "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": "131259",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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