{"npi":"1720122989","type":"NPI-1","status":"active","name":{"display":"Shelly Gore LCSW","other":[],"first":"SHELLY","last":"GORE","middle":"MARIE","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":"IL","license":"149.011931"}]},"addresses":[{"purpose":"LOCATION","street_1":"3976 N AVONDALE AVE FL 2","city":"CHICAGO","state":"IL","postal_code":"606412900","country_code":"US","phone":"7732968247"},{"purpose":"MAILING","street_1":"3976 N AVONDALE AVE FL 2","city":"CHICAGO","state":"IL","postal_code":"606412900","country_code":"US","phone":"3123194162"}],"license":{"state":"IL","number":"149.011931"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241218001816","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"IL","pac_id":"2668909409"}]},"enumeration_date":"2007-02-19","last_updated":"2024-07-19","_meta":{"source":"NPPES","snapshot_date":"2024-07-19","doc_url":"https://findmynpi.com/api"}}