{"npi":"1063581007","type":"NPI-1","status":"active","name":{"display":"Mrs. Belen Fuller Msw","other":[{"code":"1","type":"Formerly known as","value":"CAMACHO, BELEN"}],"first":"BELEN","last":"FULLER","middle":"CAMACHO","credential":"MSW"},"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":"CA","license":"LCS19480"}]},"addresses":[{"purpose":"LOCATION","street_1":"2323 W MARTIN LUTHER KING JR BLVD","city":"LOS ANGELES","state":"CA","postal_code":"900082724","country_code":"US","phone":"3232935008"},{"purpose":"MAILING","street_1":"PO BOX 83475","city":"LOS ANGELES","state":"CA","postal_code":"900830475","country_code":"US","phone":"3106868280"}],"license":{"state":"CA","number":"LCS19480"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120419000563","type_code":"33-80","type_desc":"ORDER AND REFERRING ONLY - CLINICAL SOCIAL WORKER","state":"CA","pac_id":"3476714312"}]},"enumeration_date":"2006-11-06","last_updated":"2007-11-20","_meta":{"source":"NPPES","snapshot_date":"2007-11-20","doc_url":"https://findmynpi.com/api"}}