NPI Code Detail JSON Logo

1942474051 NPI number — MARTHE J JULES LCSW

NPI Number: 1942474051
Health Care Provider/Practitioner: MARTHE J JULES LCSW

Information about “1942474051” NPI (MARTHE J JULES LCSW) exists in 1942474051 in HTML format HTML  |  1942474051 in plain Text format TXT  |  1942474051 in PDF (Portable Document Format) PDF  |  1942474051 in an XML format XML  formats.

NPI Number : 1942474051 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942474051",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JULES",
    "FirstName": "MARTHE",
    "MiddleName": "J",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JULES-WILLIAM",
    "OtherFirstName": "MARTHE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6531 SW 9TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEMBROKE PINES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33023-1602",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-324-4411",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7120 DUVAL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOLLYWOOD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33024-7344",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-894-2153",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/18/2008",
    "LastUpdateDate": "04/17/2023",
    "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": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "SW9571",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW 9571",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "SW9571",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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