{"npi":"1649694233","type":"NPI-1","status":"active","name":{"display":"Ms. Elizabeth Jackson LCSW","other":[],"first":"ELIZABETH","last":"JACKSON","middle":"A","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"WY","license":"PCSW-535"},{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"ID","license":"LMSW-31478"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"ID","license":"LCSW-33837"}]},"addresses":[{"purpose":"LOCATION","street_1":"1111 S ORCHARD ST STE 100","city":"BOISE","state":"ID","postal_code":"837051961","country_code":"US","phone":"2087949588"},{"purpose":"MAILING","street_1":"1111 S ORCHARD ST STE 100","city":"BOISE","state":"ID","postal_code":"837051961","country_code":"US","phone":"2087949588"}],"license":{"state":"ID","number":"LCSW-33837"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1649694233","state":"ID","issuer":null},{"type_code":"01","label":"Other","value":"3387","state":"ID","issuer":"LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151214002209","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"ID","pac_id":"7416258587"}]},"enumeration_date":"2014-02-18","last_updated":"2024-03-03","_meta":{"source":"NPPES","snapshot_date":"2024-03-03","doc_url":"https://findmynpi.com/api"}}