{"npi":"1760145734","type":"NPI-2","status":"active","name":{"display":"Restorative Life Therapy Services, LLC","other":[],"organization_name":"RESTORATIVE LIFE THERAPY SERVICES, LLC","authorised_official":"Kanisha Barnes"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2908 MUESERBUSH CT","city":"GLENARDEN","state":"MD","postal_code":"207065514","country_code":"US","phone":"4437432563"},{"purpose":"MAILING","street_1":"10530 CAMPUS WAY S # 1118","city":"LARGO","state":"MD","postal_code":"207741309","country_code":"US","phone":"4437432563"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"734503800","state":"MD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-10-18","last_updated":"2021-10-28","_meta":{"source":"NPPES","snapshot_date":"2021-10-28","doc_url":"https://findmynpi.com/api"}}