{"npi":"1699288118","type":"NPI-1","status":"active","name":{"display":"Dana Kozisek Lisw","other":[{"code":"1","type":"Formerly known as","value":"WICKWIRE, DANA MICHELLE"}],"first":"DANA","last":"KOZISEK","middle":"MICHELLE","credential":"LISW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101YA0400X","description":"Addiction Counselor","primary":false,"state":"IA","license":"97118"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"IA","license":"06551"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"MO","license":"20201019744"}]},"addresses":[{"purpose":"LOCATION","street_1":"2795 REED AVE","city":"GARNER","state":"IA","postal_code":"504388548","country_code":"US","phone":"5155180636"},{"purpose":"MAILING","street_1":"2795 REED AVE","city":"GARNER","state":"IA","postal_code":"504388548","country_code":"US","phone":"5152900057","fax":"5074163551"}],"license":{"state":"IA","number":"06551"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171130002174","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"IA","pac_id":"9830456797"}]},"enumeration_date":"2017-11-06","last_updated":"2026-04-03","_meta":{"source":"NPPES","snapshot_date":"2026-04-03","doc_url":"https://findmynpi.com/api"}}