{"npi":"1811982010","type":"NPI-1","status":"active","name":{"display":"Mr. Mickey Skidmore Acsw, LCSW","other":[],"first":"MICKEY","last":"SKIDMORE","credential":"ACSW, 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":"NC","license":"C000177"}]},"addresses":[{"purpose":"LOCATION","street_1":"926 2ND ST NE","city":"HICKORY","state":"NC","postal_code":"286013869","country_code":"US","street_2":"SUITE #306","phone":"8283023434"},{"purpose":"MAILING","street_1":"188 39TH AVENUE CT NW","city":"HICKORY","state":"NC","postal_code":"286019065","country_code":"US","phone":"8283023434"}],"license":{"state":"NC","number":"C000177"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"6002624","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"C4769","state":"NC","issuer":"MEDCOST PROVIDER #"},{"type_code":"01","label":"Other","value":"2091760","state":"NC","issuer":"CIGNA PROVIDER #"},{"type_code":"01","label":"Other","value":"3221","state":"NC","issuer":"CBHA PROVIDER #"},{"type_code":"01","label":"Other","value":"76734","state":"NC","issuer":"BCBS PROVIDER #"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-13","last_updated":"2007-07-09","_meta":{"source":"NPPES","snapshot_date":"2007-07-09","doc_url":"https://findmynpi.com/api"}}