{"npi":"1265024780","type":"NPI-1","status":"active","name":{"display":"Jacalyn Johnson Licsw","other":[],"first":"JACALYN","last":"JOHNSON","middle":"LARAE","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":"MN","license":"25018"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 1ST ST SW","city":"ROCHESTER","state":"MN","postal_code":"559050001","country_code":"US","phone":"5072842511"},{"purpose":"MAILING","street_1":"PO BOX 860912","city":"MINNEAPOLIS","state":"MN","postal_code":"554860912","country_code":"US","street_2":"PROVIDER ENROLLMENT - RST","phone":"5072842511"}],"license":{"state":"MN","number":"25018"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210303001784","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MN","pac_id":"9830505601"}]},"enumeration_date":"2021-02-05","last_updated":"2025-02-14","_meta":{"source":"NPPES","snapshot_date":"2025-02-14","doc_url":"https://findmynpi.com/api"}}