{"npi":"1295201754","type":"NPI-2","status":"active","name":{"display":"Lifeskills Connection Inc.","other":[],"organization_name":"LIFESKILLS CONNECTION INC.","authorised_official":"Robin Butler"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1500 W 3RD ST","city":"MANNING","state":"IA","postal_code":"514551810","country_code":"US","phone":"5633707995","fax":"5638881350"},{"purpose":"MAILING","street_1":"1500 W 3RD ST","city":"MANNING","state":"IA","postal_code":"514551810","country_code":"US","phone":"8333111661"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1760492292","state":"IA","issuer":"ALL OTHER INSURANCE COMPANIES"},{"type_code":"05","label":"Medicaid","value":"1558927061","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"1760492292","state":"IA","issuer":null},{"type_code":"01","label":"Other","value":"1558927061","state":"IA","issuer":"ALL OTHER INSURANCE COMPANIES"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200110000917","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IA","pac_id":"8123453651"}]},"enumeration_date":"2018-10-22","last_updated":"2024-09-19","_meta":{"source":"NPPES","snapshot_date":"2024-09-19","doc_url":"https://findmynpi.com/api"}}