{"npi":"1689128183","type":"NPI-1","status":"active","name":{"display":"Ms. Mary Tarvin Licsw","other":[{"code":"1","type":"Formerly known as","value":"DUNN, MARY C."}],"first":"MARY","last":"TARVIN","middle":"C.","credential":"LICSW"},"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":"MA","license":"114647"}]},"addresses":[{"purpose":"LOCATION","street_1":"1 WALPOLE ST","city":"NORWOOD","state":"MA","postal_code":"020623315","country_code":"US","street_2":"SUITE 1","phone":"7814142247","fax":"7813523996"},{"purpose":"MAILING","street_1":"5 BYRNE RD","city":"MILTON","state":"MA","postal_code":"021861703","country_code":"US","phone":"6176964791","fax":"6175078354"}],"license":{"state":"MA","number":"114647"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170510000958","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MA","pac_id":"2365710654"}]},"enumeration_date":"2016-08-12","last_updated":"2016-08-13","_meta":{"source":"NPPES","snapshot_date":"2016-08-13","doc_url":"https://findmynpi.com/api"}}