{
"Npi": {
"NPI": "1952915621",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PRIESTLY",
"FirstName": "APRIL",
"MiddleName": "MARIE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "LSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PRIESTLY",
"OtherFirstName": "APRIL",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "LSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "3626 PENNINGTON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHAKER HEIGHTS",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44120-5066",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "216-414-4959",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3626 PENNINGTON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SHAKER HEIGHTS",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44120-5066",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "216-414-4959",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/01/2020",
"LastUpdateDate": "10/13/2020",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "S.1000933",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "RL003805",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}