{"npi":"1013072008","type":"NPI-1","status":"active","name":{"display":"Mr. Scott Bleakley LCSW","other":[],"first":"SCOTT","last":"BLEAKLEY","middle":"THOMAS","credential":"LCSW"},"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":"FL","license":"SW21441"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"NH","license":"1071"}]},"addresses":[{"purpose":"LOCATION","street_1":"1530 CELEBRATION BLVD STE 405","city":"CELEBRATION","state":"FL","postal_code":"347475165","country_code":"US","phone":"8337693524"},{"purpose":"MAILING","street_1":"1530 CELEBRATION BLVD STE 405","city":"CELEBRATION","state":"FL","postal_code":"347475165","country_code":"US","phone":"8337693524","fax":"3212339959"}],"license":{"state":"FL","number":"SW21441"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30423171","state":"NH","issuer":null},{"type_code":"01","label":"Other","value":"P08033","state":"MA","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"144001431NH02","state":"NH","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230822002514","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"FL","pac_id":"4183616816"}]},"enumeration_date":"2006-12-27","last_updated":"2026-01-07","_meta":{"source":"NPPES","snapshot_date":"2026-01-07","doc_url":"https://findmynpi.com/api"}}