{"npi":"1295875375","type":"NPI-2","status":"active","name":{"display":"Adolescent And Family Growth Center, Inc.","other":[],"organization_name":"ADOLESCENT AND FAMILY GROWTH CENTER, INC.","authorised_official":"Jermaine Johnson"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"106H00000X","description":"Marriage & Family Therapist","primary":false,"state":null,"license":null},{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":null,"license":null},{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":"VA","license":"24203001"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8000 FORBES PL","city":"SPRINGFIELD","state":"VA","postal_code":"221512200","country_code":"US","street_2":"SUITE 201","phone":"7034259200","fax":"7034259206"},{"purpose":"MAILING","street_1":"8000 FORBES PL","city":"SPRINGFIELD","state":"VA","postal_code":"221512200","country_code":"US","street_2":"SUITE 201","phone":"7034259200","fax":"7034259206"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"000200191","state":"VA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-07","last_updated":"2012-08-02","_meta":{"source":"NPPES","snapshot_date":"2012-08-02","doc_url":"https://findmynpi.com/api"}}