{"npi":"1497016752","type":"NPI-1","status":"active","name":{"display":"Mrs. Andrea Grosskurth Licsw","other":[{"code":"1","type":"Formerly known as","value":"JOHNSON, ANDREA LINETTE"}],"first":"ANDREA","last":"GROSSKURTH","middle":"LINETTE","credential":"LICSW"},"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":"WI","license":"8609"}]},"addresses":[{"purpose":"LOCATION","street_1":"6809 122ND AVE","city":"KENOSHA","state":"WI","postal_code":"531427335","country_code":"US","phone":"2626525522","fax":"2626527228"},{"purpose":"MAILING","street_1":"6809 122ND AVE","city":"KENOSHA","state":"WI","postal_code":"531427335","country_code":"US","phone":"2626525522","fax":"2626527228"}],"license":{"state":"WI","number":"8609"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1497016752","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170119001888","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"IL","pac_id":"4981986387"}]},"enumeration_date":"2012-06-04","last_updated":"2020-11-23","_meta":{"source":"NPPES","snapshot_date":"2020-11-23","doc_url":"https://findmynpi.com/api"}}