{"npi":"1831569482","type":"NPI-1","status":"active","name":{"display":"Mariah Bingham Lisw","other":[{"code":"1","type":"Formerly known as","value":"FITZPATRICK, MARIAH F"}],"first":"MARIAH","last":"BINGHAM","middle":"F","credential":"LISW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"OH","license":"S.1600714"},{"code":"104100000X","description":"Social Worker","primary":false,"state":"OH","license":"S.1600714"},{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"OH","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4464 S DIXIE HWY","city":"MIDDLETOWN","state":"OH","postal_code":"450055464","country_code":"US","phone":"5136498008","fax":"5136498004"},{"purpose":"MAILING","street_1":"4464 S DIXIE HWY","city":"MIDDLETOWN","state":"OH","postal_code":"450055464","country_code":"US","phone":"5136498008","fax":"5136498004"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"01-0693","state":"OH","issuer":"CARF CERTIFICATION"},{"type_code":"01","label":"Other","value":"0074861","state":"OH","issuer":"ODADAS    GROUP NUMBER"},{"type_code":"01","label":"Other","value":"H130910","state":"OH","issuer":"MEDICARE PTAN  GROUP"},{"type_code":"01","label":"Other","value":"0074946","state":"OH","issuer":"ODMH   GROUP NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200207001299","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"OH","pac_id":"9436585577"}]},"enumeration_date":"2015-09-25","last_updated":"2021-04-21","_meta":{"source":"NPPES","snapshot_date":"2021-04-21","doc_url":"https://findmynpi.com/api"}}