{"npi":"1669801791","type":"NPI-1","status":"active","name":{"display":"Samantha Wagner","other":[],"first":"SAMANTHA","last":"WAGNER"},"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":"NJ","license":"44SL05714100"}]},"addresses":[{"purpose":"LOCATION","street_1":"30 PROSPECT AVE","city":"HACKENSACK","state":"NJ","postal_code":"076011914","country_code":"US","phone":"2015278663"},{"purpose":"MAILING","street_1":"30 PROSPECT AVE","city":"HACKENSACK","state":"NJ","postal_code":"076011914","country_code":"US"}],"license":{"state":"NJ","number":"44SL05714100"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160627001378","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"NJ","pac_id":"0648561456"}]},"enumeration_date":"2013-11-08","last_updated":"2017-04-26","_meta":{"source":"NPPES","snapshot_date":"2017-04-26","doc_url":"https://findmynpi.com/api"}}