{"npi":"1457088940","type":"NPI-1","status":"active","name":{"display":"Christopher Shupe LCSW","other":[],"first":"CHRISTOPHER","last":"SHUPE","middle":"R","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":"MO","license":"2022029271"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"MO","license":"2024034052"}]},"addresses":[{"purpose":"LOCATION","street_1":"103 W 10TH ST","city":"ROLLA","state":"MO","postal_code":"654013247","country_code":"US","phone":"3159552823"},{"purpose":"MAILING","street_1":"103 W 10TH ST","city":"ROLLA","state":"MO","postal_code":"654013247","country_code":"US","phone":"3159552823"}],"license":{"state":"MO","number":"2024034052"},"identifiers":[],"pecos":{"enrolled_at":"2026-07-01T15:01:53.235063+00:00","enrollments":[{"enrlmt_id":"I20240910002521","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MO","pac_id":"2567902158"}]},"enumeration_date":"2022-08-04","last_updated":"2024-08-28","_meta":{"source":"NPPES","snapshot_date":"2024-08-28","doc_url":"https://findmynpi.com/api"}}