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1972131969 NPI number — NICOLE LYNN SEGOVIA LCSW ACM-SW

NPI Number: 1972131969
Health Care Provider/Practitioner: NICOLE LYNN SEGOVIA LCSW ACM-SW

Information about “1972131969” NPI (NICOLE LYNN SEGOVIA LCSW ACM-SW) exists in 1972131969 in HTML format HTML  |  1972131969 in plain Text format TXT  |  1972131969 in PDF (Portable Document Format) PDF  |  1972131969 in an XML format XML  formats.

NPI Number : 1972131969 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972131969",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEGOVIA",
    "FirstName": "NICOLE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW ACM-SW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7400 MERTON MINTER ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78229-4404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-617-5300",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4422 ASHBEL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78223-4856",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-467-7711",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/27/2020",
    "LastUpdateDate": "03/27/2020",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "55091",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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