{"npi":"1497096622","type":"NPI-1","status":"active","name":{"display":"Carol Van Doorn LCSW-C","other":[{"code":"2","type":"Professional name","value":"VAN DOORN, CAROL"}],"first":"CAROL","last":"VAN DOORN","middle":"PATTERSON","credential":"LCSW-C"},"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":"MD","license":"15354"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 W CHURCH ST","city":"FREDERICK","state":"MD","postal_code":"217015451","country_code":"US","phone":"3013517421"},{"purpose":"MAILING","street_1":"484 ENSEMBLE WAY","city":"FREDERICK","state":"MD","postal_code":"217013579","country_code":"US","phone":"3013517421"}],"license":{"state":"MD","number":"15354"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0648124 00","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150319001756","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MD","pac_id":"6305163932"}]},"enumeration_date":"2013-03-13","last_updated":"2025-09-02","_meta":{"source":"NPPES","snapshot_date":"2025-09-02","doc_url":"https://findmynpi.com/api"}}