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1952909962 NPI number — LINDSEY ELIZABETH SPOTTS LCSW

NPI Number: 1952909962
Health Care Provider/Practitioner: LINDSEY ELIZABETH SPOTTS LCSW

Information about “1952909962” NPI (LINDSEY ELIZABETH SPOTTS LCSW) exists in 1952909962 in HTML format HTML  |  1952909962 in plain Text format TXT  |  1952909962 in PDF (Portable Document Format) PDF  |  1952909962 in an XML format XML  formats.

NPI Number : 1952909962 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952909962",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SPOTTS",
    "FirstName": "LINDSEY",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MUSSER",
    "OtherFirstName": "LINDSEY",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1090 W MARKET ST APT 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCHUYLKILL HAVEN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17972-9780",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "614-822-9800",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "396 S CENTRE ST STE 8",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POTTSVILLE",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17901-3597",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-601-2370",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/12/2020",
    "LastUpdateDate": "05/15/2023",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "CW018923",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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