{"npi":"1639622152","type":"NPI-1","status":"active","name":{"display":"David Grant LCSW","other":[],"first":"DAVID","last":"GRANT","middle":"DUPRIEST","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"MO","license":"2022004385"}]},"addresses":[{"purpose":"LOCATION","street_1":"5 SAGE MEADOWS CT","city":"O FALLON","state":"MO","postal_code":"633664189","country_code":"US","phone":"8033255427"},{"purpose":"MAILING","street_1":"5 SAGE MEADOWS CT","city":"O FALLON","state":"MO","postal_code":"633664189","country_code":"US","phone":"3144740015","fax":"3147825387"}],"license":{"state":"MO","number":"2022004385"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"490112443","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220919000537","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MO","pac_id":"8628453214"},{"enrlmt_id":"I20240731002202","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"TX","pac_id":"8628453214"}]},"enumeration_date":"2016-08-02","last_updated":"2023-04-26","_meta":{"source":"NPPES","snapshot_date":"2023-04-26","doc_url":"https://findmynpi.com/api"}}