{"npi":"1831203025","type":"NPI-1","status":"active","name":{"display":"Kathryn Debruin LCSW-R","other":[{"code":"1","type":"Formerly known as","value":"PENDERGAST, KATHRYN"}],"first":"KATHRYN","last":"DEBRUIN","middle":"A","credential":"LCSW-R"},"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":"NY","license":"045121"}]},"addresses":[{"purpose":"LOCATION","street_1":"3019 COUNTY COMPLEX DR","city":"CANANDAIGUA","state":"NY","postal_code":"144249505","country_code":"US","phone":"5853964363","fax":"5853964993"},{"purpose":"MAILING","street_1":"132 E MAIN ST","city":"VICTOR","state":"NY","postal_code":"145641304","country_code":"US","phone":"5857423804"}],"license":{"state":"NY","number":"045121"},"identifiers":[{"type_code":"01","label":"Other","value":"103283EU","state":"NY","issuer":"PREFERRED CARE"},{"type_code":"05","label":"Medicaid","value":"07300045121","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"EM","state":"NY","issuer":"EXCELLUS"},{"type_code":"01","label":"Other","value":"3109089","state":"NY","issuer":"VALUE OPTIONS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-18","last_updated":"2007-07-09","_meta":{"source":"NPPES","snapshot_date":"2007-07-09","doc_url":"https://findmynpi.com/api"}}