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1962436493 NPI number — VICTORIA WHITETREE LSCSW

NPI Number: 1962436493
Health Care Provider/Practitioner: VICTORIA WHITETREE LSCSW

Information about “1962436493” NPI (VICTORIA WHITETREE LSCSW) exists in 1962436493 in HTML format HTML  |  1962436493 in plain Text format TXT  |  1962436493 in PDF (Portable Document Format) PDF  |  1962436493 in an XML format XML  formats.

NPI Number : 1962436493 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962436493",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITETREE",
    "FirstName": "VICTORIA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LSCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STREET",
    "OtherFirstName": "VICTORIA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "123 N TYLER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WICHITA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "67212-3713",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "316-869-2220",
    "MailingAddressFaxNumber": "316-869-2221",
    "FirstLinePracticeLocationAddress": "123 N TYLER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WICHITA",
    "PracticeLocationAddressStateName": "KS",
    "PracticeLocationAddressPostalCode": "67212-3713",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "316-869-2220",
    "PracticeLocationAddressFaxNumber": "316-869-2221",
    "EnumerationDate": "07/10/2006",
    "LastUpdateDate": "08/14/2012",
    "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": "2277",
        "LicenseNumberStateCode": "KS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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