{"npi":"1639624489","type":"NPI-1","status":"active","name":{"display":"Andrea Perez Portillo","other":[],"first":"ANDREA","last":"PEREZ PORTILLO","middle":"GUADALUPE"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101Y00000X","description":"Counselor","primary":false,"state":null,"license":null},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"CA","license":"74204"},{"code":"104100000X","description":"Social Worker","primary":false,"state":"CA","license":"74204"},{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":"CA","license":"74204"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"CA","license":"96134"}]},"addresses":[{"purpose":"LOCATION","street_1":"1375 SYCAMORE AVE APT 211","city":"HERCULES","state":"CA","postal_code":"945475519","country_code":"US","phone":"5102535199"},{"purpose":"MAILING","street_1":"1375 SYCAMORE AVE APT 211","city":"HERCULES","state":"CA","postal_code":"945475519","country_code":"US","phone":"5102535199"}],"license":{"state":"CA","number":"96134"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-08-22","last_updated":"2024-02-20","_meta":{"source":"NPPES","snapshot_date":"2024-02-20","doc_url":"https://findmynpi.com/api"}}