{
"Npi": {
"NPI": "1992219927",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "UKYAB",
"FirstName": "SONAM",
"MiddleName": "DOLKER",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "LCSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WOESAMPA",
"OtherFirstName": "SONAM",
"OtherMiddleName": "DOLKER",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "LMSW",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "8268 164TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "JAMAICA",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11432-1121",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-883-2812",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8268 164TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JAMAICA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11432-1121",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "718-883-2812",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/29/2017",
"LastUpdateDate": "12/11/2024",
"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": "104100000X",
"TaxonomyName": "Social Worker",
"LicenseNumber": "09824-1",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "092615-01",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}