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1932864535 NPI number — SUSAN NANCY DUFFY LMSW

NPI Number: 1932864535
Health Care Provider/Practitioner: SUSAN NANCY DUFFY LMSW

Information about “1932864535” NPI (SUSAN NANCY DUFFY LMSW) exists in 1932864535 in HTML format HTML  |  1932864535 in plain Text format TXT  |  1932864535 in PDF (Portable Document Format) PDF  |  1932864535 in an XML format XML  formats.

NPI Number : 1932864535 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932864535",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUFFY",
    "FirstName": "SUSAN",
    "MiddleName": "NANCY",
    "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": "19 THOMAS RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUND BEACH",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11789-1245",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-830-2242",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "28 N COUNTRY RD STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNT SINAI",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11766-1518",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-759-4304",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/08/2021",
    "LastUpdateDate": "10/15/2022",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "051524",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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