{"npi":"1013332733","type":"NPI-1","status":"active","name":{"display":"Renae Vitale Msw, LCSW","other":[],"first":"RENAE","last":"VITALE","middle":"L","credential":"MSW, 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":"OK","license":"4704"}]},"addresses":[{"purpose":"LOCATION","street_1":"205 S PARK LN","city":"ALTUS","state":"OK","postal_code":"735215755","country_code":"US","phone":"5803796850","fax":"5803796859"},{"purpose":"MAILING","street_1":"PO BOX 8190","city":"ALTUS","state":"OK","postal_code":"735228190","country_code":"US","phone":"5803796850"}],"license":{"state":"OK","number":"4704"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200531990A","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140609000552","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OK","pac_id":"1355565623"}]},"enumeration_date":"2014-03-04","last_updated":"2023-12-04","_meta":{"source":"NPPES","snapshot_date":"2023-12-04","doc_url":"https://findmynpi.com/api"}}