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1952884009 NPI number — ERIN KATHLEEN NEAL KOESKE LISW-CP, LCSW, RDT

NPI Number: 1952884009
Health Care Provider/Practitioner: ERIN KATHLEEN NEAL KOESKE LISW-CP, LCSW, RDT

Information about “1952884009” NPI (ERIN KATHLEEN NEAL KOESKE LISW-CP, LCSW, RDT) exists in 1952884009 in HTML format HTML  |  1952884009 in plain Text format TXT  |  1952884009 in PDF (Portable Document Format) PDF  |  1952884009 in an XML format XML  formats.

NPI Number : 1952884009 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952884009",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOESKE",
    "FirstName": "ERIN",
    "MiddleName": "KATHLEEN NEAL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LISW-CP, LCSW, RDT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "NEAL",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": "KATHLEEN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "600 KING ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29205-2313",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-256-1033",
    "MailingAddressFaxNumber": "803-251-0330",
    "FirstLinePracticeLocationAddress": "600 KING ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29205-2313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-256-1033",
    "PracticeLocationAddressFaxNumber": "803-251-0330",
    "EnumerationDate": "09/13/2018",
    "LastUpdateDate": "12/15/2025",
    "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": "17804",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "149.021813",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101200000X",
          "TaxonomyName": "Drama Therapist",
          "LicenseNumber": "972",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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