{"npi":"1245237122","type":"NPI-1","status":"active","name":{"display":"Larry Mudd LCSW","other":[],"first":"LARRY","last":"MUDD","middle":"P","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":false,"state":"KY","license":"0566"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"IN","license":"34003409A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1507 SPRING STREET","city":"JEFFERSONVLLE","state":"IN","postal_code":"471302939","country_code":"US","phone":"4073474536","fax":"8122352434"},{"purpose":"MAILING","street_1":"510 SPRING ST","city":"JEFFERSONVLLE","state":"IN","postal_code":"471303554","country_code":"US","phone":"8122821888","fax":"8122189318"}],"license":{"state":"IN","number":"34003409A"},"identifiers":[{"type_code":"01","label":"Other","value":"2748455000","state":"KY","issuer":"PASSPORT ADVANTAGE"},{"type_code":"05","label":"Medicaid","value":"8200068800","state":"KY","issuer":null},{"type_code":"01","label":"Other","value":"800012255","state":"IN","issuer":"MEDICARE RAILROAD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080602000312","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"IN","pac_id":"4789754888"},{"enrlmt_id":"I20190716001569","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"KY","pac_id":"4789754888"}]},"enumeration_date":"2005-07-07","last_updated":"2024-12-17","_meta":{"source":"NPPES","snapshot_date":"2024-12-17","doc_url":"https://findmynpi.com/api"}}