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1972843407 NPI number — JOSEPH PATRICK SMULLEN LCSW-S

NPI Number: 1972843407
Health Care Provider/Practitioner: JOSEPH PATRICK SMULLEN LCSW-S

Information about “1972843407” NPI (JOSEPH PATRICK SMULLEN LCSW-S) exists in 1972843407 in HTML format HTML  |  1972843407 in plain Text format TXT  |  1972843407 in PDF (Portable Document Format) PDF  |  1972843407 in an XML format XML  formats.

NPI Number : 1972843407 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972843407",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMULLEN",
    "FirstName": "JOSEPH",
    "MiddleName": "PATRICK",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "604E POLK AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VICTORIA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77901-2604",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "361-237-0729",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5606 N NAVARRO ST STE 302A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VICTORIA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77904-1770",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "361-210-6898",
    "PracticeLocationAddressFaxNumber": "832-324-7856",
    "EnumerationDate": "02/20/2013",
    "LastUpdateDate": "10/02/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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": "574813",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "57483",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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