{
"Npi": {
"NPI": "1982899241",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PLASENCIA",
"FirstName": "RAQUEL",
"MiddleName": "LINDA",
"NamePrefix": null,
"NameSuffix": "I",
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PLASENCIA",
"OtherFirstName": "RACHEL",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LCSW",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "13428 MAXELLA AVE # 195",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARINA DEL REY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90292-5620",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-435-7527",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "13323 W WASHINGTON BLVD STE 302",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90066-5164",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-435-7527",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/10/2007",
"LastUpdateDate": "01/05/2026",
"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": "29538",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}