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1922694579 NPI number — ALISA WILLIAMS

NPI Number: 1922694579
Health Care Provider/Practitioner: ALISA WILLIAMS

Information about “1922694579” NPI (ALISA WILLIAMS) exists in 1922694579 in HTML format HTML  |  1922694579 in plain Text format TXT  |  1922694579 in PDF (Portable Document Format) PDF  |  1922694579 in an XML format XML  formats.

NPI Number : 1922694579 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922694579",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "ALISA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1144 13TH ST # 102233",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "IMPERIAL BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91932-3675",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-915-7545",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "17210 133RD AVE APT 13F",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JAMAICA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11434-3921",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-787-4222",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/17/2020",
    "LastUpdateDate": "03/03/2025",
    "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": "120165",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "090574",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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