{"npi":"1649283532","type":"NPI-1","status":"active","name":{"display":"Mrs. Alicia Kostov LCSW","other":[{"code":"1","type":"Formerly known as","value":"HARRIS, ALICIA JANETTE"}],"first":"ALICIA","last":"KOSTOV","middle":"JANETTE","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":false,"state":"MA","license":"113613"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"TX","license":"51367"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"AZ","license":"LCSW-15849"}]},"addresses":[{"purpose":"LOCATION","street_1":"2120 S MCCLINTOCK DR","city":"TEMPE","state":"AZ","postal_code":"852822692","country_code":"US","street_2":"SUITE 105","phone":"4808040326","fax":"4808040083"},{"purpose":"MAILING","street_1":"1400 E SOUTHERN AVE","city":"TEMPE","state":"AZ","postal_code":"852825691","country_code":"US","street_2":"SUITE 735","phone":"4808040326","fax":"4808040083"}],"license":{"state":"AZ","number":"LCSW-15849"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"162516","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"0051YP","state":"TX","issuer":"BLUE CROSS"},{"type_code":"05","label":"Medicaid","value":"613430","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20081002000156","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"TX","pac_id":"0446254536"}]},"enumeration_date":"2006-08-14","last_updated":"2017-04-23","_meta":{"source":"NPPES","snapshot_date":"2017-04-23","doc_url":"https://findmynpi.com/api"}}