{
  "npi": "1306963863",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "M.S.W., L.C.S.W.",
    "enumeration_date": "2007-03-22",
    "first_name": "ROBERT",
    "last_name": "SCHREINER",
    "last_updated": "2010-08-16",
    "middle_name": "SCOTT",
    "name_prefix": "Mr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 725",
      "address_2": "BASSETT MEDICAL CENTER",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COOPERSTOWN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "607-547-4986",
      "postal_code": "133260725",
      "state": "NY",
      "telephone_number": "607-547-3909"
    },
    {
      "address_1": "195 MAIN STREET",
      "address_2": "WORCESTER SCHOOL",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WORCESTER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "607-397-1014",
      "postal_code": "12197",
      "state": "NY",
      "telephone_number": "607-397-1013"
    }
  ],
  "taxonomies": [
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "046237-R",
      "primary": true,
      "state": "NY",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "ROBERT SCHREINER",
          "npi": "1306963863",
          "specialty": "LICENSED PRACTITIONE",
          "city": "DANNEMORA",
          "state": "NY",
          "excl_type": "1128a2",
          "excl_date": "2016-05-19",
          "statute_desc": "Sec. 1128(a)(2) — Conviction Relating to Patient Abuse or Neglect"
        },
        {
          "name": "ROBERT SCOTT SCHREINER",
          "npi": "1306963863",
          "specialty": "COUNSELOR",
          "city": "RICHMONDVILLE",
          "state": "NY",
          "excl_type": "1128b4",
          "excl_date": "2014-05-20",
          "statute_desc": "Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender"
        }
      ],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "80",
        "medicare_type": "Licensed Clinical Social Worker"
      }
    ]
  }
}