{"npi":"1114441904","type":"NPI-1","status":"active","name":{"display":"Mrs. Jeanette Pycraft Lisw","other":[{"code":"1","type":"Formerly known as","value":"STALLINGS, JEANNETTE INEZ"}],"first":"JEANETTE","last":"PYCRAFT","middle":"INEZ","credential":"LISW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":"OH","license":"I.1700435"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":"I.1700435"}]},"addresses":[{"purpose":"LOCATION","street_1":"246 NORTHLAND DR STE 200A","city":"MEDINA","state":"OH","postal_code":"442563440","country_code":"US","phone":"3307259195","fax":"3307259187"},{"purpose":"MAILING","street_1":"329 FINDLEY AVE","city":"WELLINGTON","state":"OH","postal_code":"440909318","country_code":"US","phone":"4403711572"}],"license":{"state":null,"number":"I.1700435"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0238729","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-08-02","last_updated":"2020-02-25","_meta":{"source":"NPPES","snapshot_date":"2020-02-25","doc_url":"https://findmynpi.com/api"}}