{"npi":"1104264530","type":"NPI-1","status":"active","name":{"display":"Alyssa Vibbard Lisw","other":[{"code":"1","type":"Formerly known as","value":"PFANTZ, ALYSSA"}],"first":"ALYSSA","last":"VIBBARD","credential":"LISW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":false,"state":null,"license":null},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"IA","license":"087466"}]},"addresses":[{"purpose":"LOCATION","street_1":"1105 N ANKENY BLVD STE 100","city":"ANKENY","state":"IA","postal_code":"500234003","country_code":"US","phone":"5152558399"},{"purpose":"MAILING","street_1":"1900 SILVER LAKE RD NW STE 110","city":"NEW BRIGHTON","state":"MN","postal_code":"551121789","country_code":"US","phone":"6516289566","fax":"6516280411"}],"license":{"state":"IA","number":"087466"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250108004006","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"IA","pac_id":"4486182193"}]},"enumeration_date":"2013-06-07","last_updated":"2024-12-31","_meta":{"source":"NPPES","snapshot_date":"2024-12-31","doc_url":"https://findmynpi.com/api"}}