{"npi":"1801409412","type":"NPI-1","status":"active","name":{"display":"Shannon Holbrook LCSW","other":[{"code":"1","type":"Formerly known as","value":"LYNCH, SHANNON MARIE"}],"first":"SHANNON","last":"HOLBROOK","middle":"LYNCH","credential":"LCSW"},"specialty":{"primary_taxonomy":"104100000X","primary_taxonomy_description":"Social Worker","slug":"social-worker","schema_org_specialty":null,"all":[{"code":"104100000X","description":"Social Worker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"249 CLARKSON RD","city":"ELLISVILLE","state":"MO","postal_code":"630112497","country_code":"US","phone":"6362560600"},{"purpose":"MAILING","street_1":"249 CLARKSON RD STE 102","city":"ELLISVILLE","state":"MO","postal_code":"630112497","country_code":"US","phone":"6362560600"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-08-25","last_updated":"2024-12-09","_meta":{"source":"NPPES","snapshot_date":"2024-12-09","doc_url":"https://findmynpi.com/api"}}