{"npi":"1679634448","type":"NPI-1","status":"active","name":{"display":"Mrs. Kathleen Shelly LCSW","other":[{"code":"2","type":"Professional name","value":"SHELLY, KATHLEEN ADELAIDE"}],"first":"KATHLEEN","last":"SHELLY","middle":"ADELAIDE","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":"PA","license":"CW014047"}]},"addresses":[{"purpose":"LOCATION","street_1":"1330 W 26TH ST","city":"ERIE","state":"PA","postal_code":"165081402","country_code":"US","phone":"8144512283"},{"purpose":"MAILING","street_1":"1330 W 26TH ST","city":"ERIE","state":"PA","postal_code":"165081402","country_code":"US","phone":"8144599300"}],"license":{"state":"PA","number":"CW014047"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080521000493","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"PA","pac_id":"3971672676"}]},"enumeration_date":"2006-12-13","last_updated":"2024-07-05","_meta":{"source":"NPPES","snapshot_date":"2024-07-05","doc_url":"https://findmynpi.com/api"}}