{"npi":"1073378063","type":"NPI-1","status":"active","name":{"display":"Daniqua Boulware LCSW","other":[],"first":"DANIQUA","last":"BOULWARE","middle":"TISHAWN","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":"NC","license":"P017558"}]},"addresses":[{"purpose":"LOCATION","street_1":"116 LEE ST","city":"SHELBY","state":"NC","postal_code":"281503839","country_code":"US","phone":"7044874000"},{"purpose":"MAILING","street_1":"116 LEE ST","city":"SHELBY","state":"NC","postal_code":"281503839","country_code":"US","phone":"7044874000"}],"license":{"state":"NC","number":"P017558"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-02-19","last_updated":"2024-02-19","_meta":{"source":"NPPES","snapshot_date":"2024-02-19","doc_url":"https://findmynpi.com/api"}}