{
"Npi": {
"NPI": "1982765012",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RILEY",
"FirstName": "ANITA",
"MiddleName": "L",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LICSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCLAUGHLIN",
"OtherFirstName": "ANITA",
"OtherMiddleName": "L",
"OtherNamePrefix": "MISS",
"OtherNameSuffix": null,
"OtherCredential": "LICSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "585 LINCOLN STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WORCESTER",
"MailingAddressStateName": "MA",
"MailingAddressPostalCode": "01605-1906",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "508-854-3320",
"MailingAddressFaxNumber": "508-753-5051",
"FirstLinePracticeLocationAddress": "214 HOWARD STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FRAMINGHAM",
"PracticeLocationAddressStateName": "MA",
"PracticeLocationAddressPostalCode": "01702-8311",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "508-875-5801",
"PracticeLocationAddressFaxNumber": "508-753-5051",
"EnumerationDate": "12/13/2006",
"LastUpdateDate": "07/15/2009",
"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": "113071",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}