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1962452276 NPI number — LINDA ANN DECONTI LICSW

NPI Number: 1962452276
Health Care Provider/Practitioner: LINDA ANN DECONTI LICSW

Information about “1962452276” NPI (LINDA ANN DECONTI LICSW) exists in 1962452276 in HTML format HTML  |  1962452276 in plain Text format TXT  |  1962452276 in PDF (Portable Document Format) PDF  |  1962452276 in an XML format XML  formats.

NPI Number : 1962452276 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962452276",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DECONTI",
    "FirstName": "LINDA",
    "MiddleName": "ANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LICSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "275 GROTTO AVE",
    "SecondLineMailingAddress": "UNIT 20",
    "MailingAddressCityName": "PAWTUCKET",
    "MailingAddressStateName": "RI",
    "MailingAddressPostalCode": "02860-3400",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-724-5184",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "33 COLLEGE HILL RD",
    "SecondLinePracticeLocationAddress": "SUITE 30E",
    "PracticeLocationAddressCityName": "WARWICK",
    "PracticeLocationAddressStateName": "RI",
    "PracticeLocationAddressPostalCode": "02886-2776",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "401-821-6070",
    "PracticeLocationAddressFaxNumber": "401-821-6047",
    "EnumerationDate": "05/10/2006",
    "LastUpdateDate": "07/08/2007",
    "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": "ISW00183",
        "LicenseNumberStateCode": "RI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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