{
"Npi": {
"NPI": "1952534406",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "STEWART",
"FirstName": "KATHLEEN",
"MiddleName": "DENISE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "MSW, LISW-S",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "STEWART",
"OtherFirstName": "K.",
"OtherMiddleName": "DENISE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "MSW, LISW-S",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "1136 WILMINGTON AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DAYTON",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45420-4112",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "937-254-6700",
"MailingAddressFaxNumber": "937-254-6776",
"FirstLinePracticeLocationAddress": "1136 WILMINGTON AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DAYTON",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45420-4112",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "937-254-6700",
"PracticeLocationAddressFaxNumber": "937-254-6776",
"EnumerationDate": "09/01/2009",
"LastUpdateDate": "09/01/2009",
"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": "I.5755.SUPV",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}