{"npi":"1013583137","type":"NPI-1","status":"active","name":{"display":"Carmen Vernon","other":[],"first":"CARMEN","last":"VERNON"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OH","license":"I.2406074"}]},"addresses":[{"purpose":"LOCATION","street_1":"600 DOVER CENTER RD","city":"BAY VILLAGE","state":"OH","postal_code":"441403310","country_code":"US","phone":"4407424425","fax":"4406353809"},{"purpose":"MAILING","street_1":"600 DOVER CENTER RD","city":"BAY VILLAGE","state":"OH","postal_code":"441403310","country_code":"US","street_2":"DOVER COMMONS","phone":"4196242427","fax":"4406353809"}],"license":{"state":"OH","number":"I.2406074"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20251027002211","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OH","pac_id":"8628567187"}]},"enumeration_date":"2021-05-29","last_updated":"2026-05-28","_meta":{"source":"NPPES","snapshot_date":"2026-05-28","doc_url":"https://findmynpi.com/api"}}