{"npi":"1639958481","type":"NPI-1","status":"active","name":{"display":"Michael Clark LCSW","other":[],"first":"MICHAEL","last":"CLARK","middle":"A","credential":"LCSW"},"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":"MO","license":"2022033941"}]},"addresses":[{"purpose":"LOCATION","street_1":"327 E AIRPORT DR","city":"CARTHAGE","state":"MO","postal_code":"648363402","country_code":"US","phone":"4172370604","fax":"4172370613"},{"purpose":"MAILING","street_1":"327 E AIRPORT DR","city":"CARTHAGE","state":"MO","postal_code":"648363402","country_code":"US","phone":"4172370604","fax":"4172370613"}],"license":{"state":"MO","number":"2022033941"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230929002375","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MO","pac_id":"3779937313"}]},"enumeration_date":"2023-09-21","last_updated":"2023-09-21","_meta":{"source":"NPPES","snapshot_date":"2023-09-21","doc_url":"https://findmynpi.com/api"}}