{"npi":"1497823116","type":"NPI-1","status":"active","name":{"display":"Julie Clark LCSW","other":[{"code":"1","type":"Formerly known as","value":"KING, JULIE ANN"}],"first":"JULIE","last":"CLARK","middle":"ANN","credential":"LCSW"},"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":"ME","license":"LC10086"}]},"addresses":[{"purpose":"LOCATION","street_1":"165 LANCASTER ST","city":"PORTLAND","state":"ME","postal_code":"041012406","country_code":"US","phone":"2078741030","fax":"2078741044"},{"purpose":"MAILING","street_1":"78 ATLANTIC PL","city":"SOUTH PORTLAND","state":"ME","postal_code":"041062316","country_code":"US","phone":"2076616654","fax":"2078427773"}],"license":{"state":"ME","number":"LC10086"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"433835799","state":"ME","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100423000229","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"ME","pac_id":"9436285889"}]},"enumeration_date":"2006-12-01","last_updated":"2015-01-22","_meta":{"source":"NPPES","snapshot_date":"2015-01-22","doc_url":"https://findmynpi.com/api"}}