{"npi":"1245801547","type":"NPI-1","status":"active","name":{"display":"Ms. Stacie Howard Licsw","other":[{"code":"1","type":"Formerly known as","value":"TRICKLER, STACIE MICHELLE"}],"first":"STACIE","last":"HOWARD","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":"WA","license":"LW60678320"}]},"addresses":[{"purpose":"LOCATION","street_1":"1007 KOALA DR","city":"OMAK","state":"WA","postal_code":"988419247","country_code":"US","phone":"5098268409","fax":"5098263029"},{"purpose":"MAILING","street_1":"1007 KOALA DR","city":"OMAK","state":"WA","postal_code":"988419247","country_code":"US","phone":"5098268409","fax":"5098263029"}],"license":{"state":"WA","number":"LW60678320"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1090983","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"LW60678320","state":"WA","issuer":"STATE OF WA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210722002738","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"WA","pac_id":"5193128502"}]},"enumeration_date":"2021-07-07","last_updated":"2024-02-01","_meta":{"source":"NPPES","snapshot_date":"2024-02-01","doc_url":"https://findmynpi.com/api"}}