{"npi":"1942667944","type":"NPI-1","status":"active","name":{"display":"Wallace Clark Therapeutic Mentor","other":[],"first":"WALLACE","last":"CLARK","credential":"THERAPEUTIC MENTOR"},"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":"6 CONCORDIA DR","city":"HAVERHILL","state":"MA","postal_code":"018302062","country_code":"US","phone":"9783733086","fax":"9784690486"},{"purpose":"MAILING","street_1":"6 CONCORDIA DR","city":"HAVERHILL","state":"MA","postal_code":"018302062","country_code":"US","phone":"9783733086","fax":"9784690486"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-01-21","last_updated":"2016-01-21","_meta":{"source":"NPPES","snapshot_date":"2016-01-21","doc_url":"https://findmynpi.com/api"}}