{"npi":"1609269711","type":"NPI-1","status":"active","name":{"display":"Kayla Michaud LCSW","other":[{"code":"1","type":"Formerly known as","value":"BOURGOIN, KAYLA"}],"first":"KAYLA","last":"MICHAUD","middle":"CL","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":"ME","license":"MC17407"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"ME","license":"LC19264"}]},"addresses":[{"purpose":"LOCATION","street_1":"88 FOX ST","city":"MADAWASKA","state":"ME","postal_code":"04756","country_code":"US","phone":"2077286727","fax":"2077287679"},{"purpose":"MAILING","street_1":"180 ACADEMY ST STE 3","city":"PRESQUE ISLE","state":"ME","postal_code":"047693183","country_code":"US","phone":"2075542352","fax":"2075542351"}],"license":{"state":"ME","number":"LC19264"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210104000433","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"ME","pac_id":"7214340611"}]},"enumeration_date":"2015-03-13","last_updated":"2021-02-02","_meta":{"source":"NPPES","snapshot_date":"2021-02-02","doc_url":"https://findmynpi.com/api"}}