{"npi":"1023697315","type":"NPI-1","status":"active","name":{"display":"Elissa Tubergen Lcswa","other":[],"first":"ELISSA","last":"TUBERGEN","middle":"MARIE","credential":"LCSWA"},"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":"NC","license":"P015332"}]},"addresses":[{"purpose":"LOCATION","street_1":"212 ENSTONE CT","city":"HILLSBOROUGH","state":"NC","postal_code":"272789841","country_code":"US","phone":"6512120640"},{"purpose":"MAILING","street_1":"212 ENSTONE CT","city":"HILLSBOROUGH","state":"NC","postal_code":"272789841","country_code":"US","phone":"6512120640"}],"license":{"state":"NC","number":"P015332"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-04-05","last_updated":"2021-04-05","_meta":{"source":"NPPES","snapshot_date":"2021-04-05","doc_url":"https://findmynpi.com/api"}}