NPI Code Detail JSON Logo

1962866954 NPI number — LASHONTA PRINCE LCSW

NPI Number: 1962866954
Health Care Provider/Practitioner: LASHONTA PRINCE LCSW

Information about “1962866954” NPI (LASHONTA PRINCE LCSW) exists in 1962866954 in HTML format HTML  |  1962866954 in plain Text format TXT  |  1962866954 in PDF (Portable Document Format) PDF  |  1962866954 in an XML format XML  formats.

NPI Number : 1962866954 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962866954",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PRINCE",
    "FirstName": "LASHONTA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HUNTER",
    "OtherFirstName": "LASHONTA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "14212 KATHLEEN LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRANDYWINE",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20613-3007",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6100 RADIO STATION RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA PLATA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20646-3314",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-609-9887",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/06/2016",
    "LastUpdateDate": "04/06/2016",
    "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": "21557",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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