{"npi":"1255461125","type":"NPI-1","status":"active","name":{"display":"Jodi Dively LCSW-C","other":[],"first":"JODI","last":"DIVELY","middle":"LYNN","credential":"LCSW-C"},"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":"MD","license":"12032"}]},"addresses":[{"purpose":"LOCATION","street_1":"214 2ND AVE SW","city":"GLEN BURNIE","state":"MD","postal_code":"210613465","country_code":"US","phone":"4437102324"},{"purpose":"MAILING","street_1":"214 2ND AVE SW","city":"GLEN BURNIE","state":"MD","postal_code":"210613465","country_code":"US"}],"license":{"state":"MD","number":"12032"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"212150600","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170505000773","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MD","pac_id":"1153630546"}]},"enumeration_date":"2007-03-07","last_updated":"2023-01-05","_meta":{"source":"NPPES","snapshot_date":"2023-01-05","doc_url":"https://findmynpi.com/api"}}