NPI Code Detail JSON Logo

1922881457 NPI number — AMY DIRCKS LGSW

NPI Number: 1922881457
Health Care Provider/Practitioner: AMY DIRCKS LGSW

Information about “1922881457” NPI (AMY DIRCKS LGSW) exists in 1922881457 in HTML format HTML  |  1922881457 in plain Text format TXT  |  1922881457 in PDF (Portable Document Format) PDF  |  1922881457 in an XML format XML  formats.

NPI Number : 1922881457 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922881457",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIRCKS",
    "FirstName": "AMY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LGSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10201 WAYZATA BLVD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MINNETONKA",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55305-1500",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "952-544-6806",
    "MailingAddressFaxNumber": "952-545-0098",
    "FirstLinePracticeLocationAddress": "10201 WAYZATA BLVD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MINNETONKA",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55305-1500",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "952-544-6806",
    "PracticeLocationAddressFaxNumber": "952-545-0098",
    "EnumerationDate": "08/17/2023",
    "LastUpdateDate": "10/06/2025",
    "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": "32447",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.