{"npi":"1629182225","type":"NPI-1","status":"active","name":{"display":"Lisa Wagner Lisw-S","other":[],"first":"LISA","last":"WAGNER","middle":"ELIZABETH","credential":"LISW-S"},"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":"OH","license":"I.0009675-SUPV"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 W ESPY ST","city":"KENTON","state":"OH","postal_code":"433262117","country_code":"US","phone":"4196795994","fax":"4192258878"},{"purpose":"MAILING","street_1":"329 N WEST ST","city":"LIMA","state":"OH","postal_code":"458014332","country_code":"US","phone":"4192213072"}],"license":{"state":"OH","number":"I.0009675-SUPV"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070615000486","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OH","pac_id":"5395844336"}]},"enumeration_date":"2006-08-19","last_updated":"2025-04-07","_meta":{"source":"NPPES","snapshot_date":"2025-04-07","doc_url":"https://findmynpi.com/api"}}