{"npi":"1699149864","type":"NPI-1","status":"active","name":{"display":"Leigh Maddy Lsw","other":[{"code":"1","type":"Formerly known as","value":"BERGIN, LEIGH"}],"first":"LEIGH","last":"MADDY","middle":"BERGIN","credential":"LSW"},"specialty":{"primary_taxonomy":"104100000X","primary_taxonomy_description":"Social Worker","slug":"social-worker","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":true,"state":"OH","license":"S.1803273"},{"code":"103K00000X","description":"Behavior Analyst","primary":false,"state":null,"license":null},{"code":"175T00000X","description":"Peer Specialist","primary":false,"state":"MO","license":"152112790042"}]},"addresses":[{"purpose":"LOCATION","street_1":"22001 FAIRMOUNT BLVD","city":"SHAKER HEIGHTS","state":"OH","postal_code":"44118","country_code":"US","phone":"2169322800"},{"purpose":"MAILING","street_1":"22001 FAIRMOUNT BLVD","city":"SHAKER HEIGHTS","state":"OH","postal_code":"441184819","country_code":"US","phone":"2169322800"}],"license":{"state":"OH","number":"S.1803273"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210820002771","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OH","pac_id":"7113322694"}]},"enumeration_date":"2015-11-25","last_updated":"2019-08-06","_meta":{"source":"NPPES","snapshot_date":"2019-08-06","doc_url":"https://findmynpi.com/api"}}