{"npi":"1760145007","type":"NPI-1","status":"active","name":{"display":"Tadayah Pulliam Msw, LCSW","other":[],"first":"TADAYAH","last":"PULLIAM","credential":"MSW, 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":"NJ","license":"44SC06023700"}]},"addresses":[{"purpose":"LOCATION","street_1":"299 GLENWOOD AVE STE 201","city":"BLOOMFIELD","state":"NJ","postal_code":"070032445","country_code":"US","phone":"8627044645"},{"purpose":"MAILING","street_1":"299 GLENWOOD AVE STE 201","city":"BLOOMFIELD","state":"NJ","postal_code":"070032445","country_code":"US","phone":"8627044645"}],"license":{"state":"NJ","number":"44SC06023700"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20211103000088","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"NJ","pac_id":"2961890447"}]},"enumeration_date":"2021-10-13","last_updated":"2023-09-07","_meta":{"source":"NPPES","snapshot_date":"2023-09-07","doc_url":"https://findmynpi.com/api"}}