{"npi":"1679229041","type":"NPI-1","status":"active","name":{"display":"Sandra Pena LCSW","other":[{"code":"1","type":"Formerly known as","value":"PICHARDO, SANDRA"}],"first":"SANDRA","last":"PENA","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":"OR","license":"L15638"}]},"addresses":[{"purpose":"LOCATION","street_1":"4185 SW RESEARCH WAY STE 110","city":"CORVALLIS","state":"OR","postal_code":"973331783","country_code":"US","phone":"4808645720"},{"purpose":"MAILING","street_1":"4185 SW RESEARCH WAY STE 110","city":"CORVALLIS","state":"OR","postal_code":"973331783","country_code":"US","phone":"5627130486"}],"license":{"state":"OR","number":"L15638"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241203000444","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OR","pac_id":"4587199302"}]},"enumeration_date":"2022-02-24","last_updated":"2025-01-28","_meta":{"source":"NPPES","snapshot_date":"2025-01-28","doc_url":"https://findmynpi.com/api"}}