{"npi":"1437598182","type":"NPI-1","status":"active","name":{"display":"Lisa Kelly Msw, Lsw","other":[{"code":"1","type":"Formerly known as","value":"HERALD, LISA M"}],"first":"LISA","last":"KELLY","middle":"M.","credential":"MSW, LSW"},"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":"OH","license":"1502427"}]},"addresses":[{"purpose":"LOCATION","street_1":"2708 CLEVELAND RD STE 200","city":"WOOSTER","state":"OH","postal_code":"446911703","country_code":"US","phone":"2342492189"},{"purpose":"MAILING","street_1":"521 BEALL AVE","city":"WOOSTER","state":"OH","postal_code":"446913589","country_code":"US","phone":"2342492189","fax":"3302627836"}],"license":{"state":"OH","number":"1502427"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160527001199","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OH","pac_id":"6800186131"}]},"enumeration_date":"2013-06-17","last_updated":"2023-07-21","_meta":{"source":"NPPES","snapshot_date":"2023-07-21","doc_url":"https://findmynpi.com/api"}}