{"npi":"1003363615","type":"NPI-2","status":"active","name":{"display":"Conshohocken Center For Emotional Health","other":[],"organization_name":"CONSHOHOCKEN CENTER FOR EMOTIONAL HEALTH","authorised_official":"Carolyn Fortenberry"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"20 E 2ND AVE STE 100","city":"CONSHOHOCKEN","state":"PA","postal_code":"194281880","country_code":"US","phone":"6106355677","fax":"6108284910"},{"purpose":"MAILING","street_1":"1101 NEW DEHAVEN ST","city":"CONSHOHOCKEN","state":"PA","postal_code":"194282742","country_code":"US","phone":"6106355677","fax":"6108284910"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20161109000121","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"0446539738"}]},"enumeration_date":"2016-09-01","last_updated":"2024-11-01","_meta":{"source":"NPPES","snapshot_date":"2024-11-01","doc_url":"https://findmynpi.com/api"}}