{"npi":"1235500091","type":"NPI-1","status":"active","name":{"display":"Amanda Martin","other":[],"first":"AMANDA","last":"MARTIN"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"CA","license":"89378"},{"code":"225C00000X","description":"Rehabilitation Counselor","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"CA","license":"111168"}]},"addresses":[{"purpose":"LOCATION","street_1":"762 CYPRESS ST","city":"SAN DIMAS","state":"CA","postal_code":"91773","country_code":"US","phone":"9095991227"},{"purpose":"MAILING","street_1":"762 CYPRESS ST # 107","city":"SAN DIMAS","state":"CA","postal_code":"917733505","country_code":"US","phone":"9095991227","fax":"7029447846"}],"license":{"state":"CA","number":"111168"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230131001400","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"CA","pac_id":"2860863867"}]},"enumeration_date":"2015-10-19","last_updated":"2023-01-09","_meta":{"source":"NPPES","snapshot_date":"2023-01-09","doc_url":"https://findmynpi.com/api"}}