{"npi":"1669808317","type":"NPI-1","status":"active","name":{"display":"Tiffany Statham LCSW","other":[],"first":"TIFFANY","last":"STATHAM","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":"UT","license":"7922725-3501"}]},"addresses":[{"purpose":"LOCATION","street_1":"1034 N 500 W","city":"PROVO","state":"UT","postal_code":"846043380","country_code":"US","phone":"8013572068","fax":"8013577274"},{"purpose":"MAILING","street_1":"1034 N 500 W","city":"PROVO","state":"UT","postal_code":"846043380","country_code":"US","phone":"8013572068","fax":"8013577274"}],"license":{"state":"UT","number":"7922725-3501"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20141204000176","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"UT","pac_id":"4688996598"}]},"enumeration_date":"2013-09-25","last_updated":"2021-09-30","_meta":{"source":"NPPES","snapshot_date":"2021-09-30","doc_url":"https://findmynpi.com/api"}}