NPI Code Detail JSON Logo

1962087940 NPI number — MARIAH ELAINE CONNER MSW, LCSW, LISW-CP

NPI Number: 1962087940
Health Care Provider/Practitioner: MARIAH ELAINE CONNER MSW, LCSW, LISW-CP

Information about “1962087940” NPI (MARIAH ELAINE CONNER MSW, LCSW, LISW-CP) exists in 1962087940 in HTML format HTML  |  1962087940 in plain Text format TXT  |  1962087940 in PDF (Portable Document Format) PDF  |  1962087940 in an XML format XML  formats.

NPI Number : 1962087940 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962087940",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CONNER",
    "FirstName": "MARIAH",
    "MiddleName": "ELAINE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSW, LCSW, LISW-CP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FRITCHEN",
    "OtherFirstName": "MARIAH",
    "OtherMiddleName": "ELAINE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MSW, LMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "949 APPLE GROVE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FLORENCE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29501-8196",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "815-721-9466",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6439 GARNERS FERRY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29209-1638",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-721-9466",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/11/2021",
    "LastUpdateDate": "03/11/2021",
    "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": "2019022942",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "13575",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1041C0700X",
          "TaxonomyName": "Clinical Social Worker",
          "LicenseNumber": "1199",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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