{"npi":"1588052575","type":"NPI-1","status":"active","name":{"display":"Nicolette Ketzer Lisw-S","other":[{"code":"1","type":"Formerly known as","value":"GRANVILLE, NICOLETTE E"}],"first":"NICOLETTE","last":"KETZER","middle":"E","credential":"LISW-S"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"171M00000X","description":"Case Manager/Care Coordinator","primary":false,"state":"OH","license":"I.1700424"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OH","license":"I.1700424"}]},"addresses":[{"purpose":"LOCATION","street_1":"3333 BURNET AVE","city":"CINCINNATI","state":"OH","postal_code":"452293026","country_code":"US","phone":"5136365007"},{"purpose":"MAILING","street_1":"3333 BURNET AVE","city":"CINCINNATI","state":"OH","postal_code":"452293026","country_code":"US","phone":"5136365007"}],"license":{"state":"OH","number":"I.1700424"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2565399","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-12-30","last_updated":"2026-02-04","_meta":{"source":"NPPES","snapshot_date":"2026-02-04","doc_url":"https://findmynpi.com/api"}}