{"npi":"1487909396","type":"NPI-1","status":"active","name":{"display":"Jacalyn Lasich Msw","other":[],"first":"JACALYN","last":"LASICH","middle":"SUE","credential":"MSW"},"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":"MI","license":"6801089753"}]},"addresses":[{"purpose":"LOCATION","street_1":"217 S MADISON STREET","city":"TRAVERSE CITY","state":"MI","postal_code":"496842320","country_code":"US","phone":"2313928400","fax":"2319357888"},{"purpose":"MAILING","street_1":"1414 W FAIR AVE","city":"MARQUETTE","state":"MI","postal_code":"498555407","country_code":"US","street_2":"STE 332","phone":"2319356080","fax":"2319356081"}],"license":{"state":"MI","number":"6801089753"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1487909396","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"6801089753","state":"MI","issuer":"MICHIGAN LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120924000161","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MI","pac_id":"5698923209"}]},"enumeration_date":"2012-07-17","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}