{"npi":"1093014870","type":"NPI-1","status":"active","name":{"display":"Angela Brust Licsw","other":[{"code":"1","type":"Formerly known as","value":"HOLMBERG, ANGELA MICHELLE"}],"first":"ANGELA","last":"BRUST","middle":"MICHELLE","credential":"LICSW"},"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":"MN","license":"19237"}]},"addresses":[{"purpose":"LOCATION","street_1":"5200 WILLSON RD STE 307","city":"EDINA","state":"MN","postal_code":"554241344","country_code":"US","phone":"6124055565"},{"purpose":"MAILING","street_1":"5200 WILLSON RD STE 307","city":"EDINA","state":"MN","postal_code":"554241344","country_code":"US","phone":"6124055565"}],"license":{"state":"MN","number":"19237"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110504000316","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MN","pac_id":"8820273030"}]},"enumeration_date":"2011-03-20","last_updated":"2021-03-04","_meta":{"source":"NPPES","snapshot_date":"2021-03-04","doc_url":"https://findmynpi.com/api"}}