{"npi":"1770047367","type":"NPI-1","status":"active","name":{"display":"Mandy Lundby Licsw","other":[],"first":"MANDY","last":"LUNDBY","middle":"LEEANN","credential":"LICSW"},"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":"MN","license":"25676"}]},"addresses":[{"purpose":"LOCATION","street_1":"603 BRUCE ST","city":"CROOKSTON","state":"MN","postal_code":"567162914","country_code":"US","phone":"2182813940","fax":"2182816261"},{"purpose":"MAILING","street_1":"603 BRUCE ST","city":"CROOKSTON","state":"MN","postal_code":"567162914","country_code":"US","phone":"2182813940","fax":"2182816261"}],"license":{"state":"MN","number":"25676"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190605001400","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"MN","pac_id":"2062745102"}]},"enumeration_date":"2019-01-28","last_updated":"2019-01-28","_meta":{"source":"NPPES","snapshot_date":"2019-01-28","doc_url":"https://findmynpi.com/api"}}