{"npi":"1609323542","type":"NPI-1","status":"active","name":{"display":"Katie Wieber Lisw","other":[],"first":"KATIE","last":"WIEBER","credential":"LISW"},"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":null,"license":"S.1000985"},{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OH","license":"I.2103067"}]},"addresses":[{"purpose":"LOCATION","street_1":"3100 W CENTRAL AVE","city":"TOLEDO","state":"OH","postal_code":"436062914","country_code":"US","phone":"4193414362"},{"purpose":"MAILING","street_1":"3100 W CENTRAL AVE","city":"TOLEDO","state":"OH","postal_code":"436062914","country_code":"US","phone":"4193414362"}],"license":{"state":"OH","number":"I.2103067"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0277584","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220224001268","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OH","pac_id":"9638563224"}]},"enumeration_date":"2016-09-08","last_updated":"2022-02-01","_meta":{"source":"NPPES","snapshot_date":"2022-02-01","doc_url":"https://findmynpi.com/api"}}