{"npi":"1780011932","type":"NPI-1","status":"active","name":{"display":"Kelly Rivera LCSW","other":[],"first":"KELLY","last":"RIVERA","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":"CA","license":"75388"}]},"addresses":[{"purpose":"LOCATION","street_1":"2501 CHATHAM RD STE N","city":"SPRINGFIELD","state":"IL","postal_code":"627044188","country_code":"US","phone":"8728102133"},{"purpose":"MAILING","street_1":"6134 W ADDISON ST","city":"CHICAGO","state":"IL","postal_code":"606344115","country_code":"US","phone":"4155466756"}],"license":{"state":"CA","number":"75388"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170928004052","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"CA","pac_id":"2062787187"}]},"enumeration_date":"2013-10-02","last_updated":"2022-11-08","_meta":{"source":"NPPES","snapshot_date":"2022-11-08","doc_url":"https://findmynpi.com/api"}}