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1952321911 NPI number — CATHERINE JEAN LICSW

NPI Number: 1952321911
Health Care Provider/Practitioner: CATHERINE JEAN LICSW

Information about “1952321911” NPI (CATHERINE JEAN LICSW) exists in 1952321911 in HTML format HTML  |  1952321911 in plain Text format TXT  |  1952321911 in PDF (Portable Document Format) PDF  |  1952321911 in an XML format XML  formats.

NPI Number : 1952321911 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952321911",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JEAN",
    "FirstName": "CATHERINE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LIBERTI",
    "OtherFirstName": "CATHERINE",
    "OtherMiddleName": "R",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LICSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "9 SCOTT FIELD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROWLEY",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "01969",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "978-948-2183",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "76 SUMMER ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAVERHILL",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "01830-5814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "978-373-8222",
    "PracticeLocationAddressFaxNumber": "979-373-8223",
    "EnumerationDate": "07/20/2006",
    "LastUpdateDate": "02/10/2012",
    "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": "1026430",
        "LicenseNumberStateCode": "MA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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