{"npi":"1740795210","type":"NPI-1","status":"active","name":{"display":"Evan Vanderpohl Lisw","other":[],"first":"EVAN","last":"VANDERPOHL","middle":"KRISTINE","credential":"LISW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":false,"state":"OH","license":"S.2004999"},{"code":"171M00000X","description":"Case Manager/Care Coordinator","primary":false,"state":null,"license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OH","license":"I.2304720"}]},"addresses":[{"purpose":"LOCATION","street_1":"1670 UPHAM DR FL 1","city":"COLUMBUS","state":"OH","postal_code":"432101250","country_code":"US","phone":"6142939600","fax":"6142931456"},{"purpose":"MAILING","street_1":"700 ACKERMAN RD STE 2120","city":"COLUMBUS","state":"OH","postal_code":"432021559","country_code":"US","phone":"6142939600","fax":"6142931456"}],"license":{"state":"OH","number":"I.2304720"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1473276","state":"OH","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-12-06","last_updated":"2024-02-07","_meta":{"source":"NPPES","snapshot_date":"2024-02-07","doc_url":"https://findmynpi.com/api"}}