{
  "npi": "1629139530",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "LCSW",
    "enumeration_date": "2006-12-13",
    "first_name": "SUZANNE",
    "last_name": "DEMONG",
    "last_updated": "2007-07-08",
    "middle_name": "E",
    "name_prefix": "Ms.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1952 FREDA LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CARDIFF",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "920071450",
      "state": "CA",
      "telephone_number": "760-943-8687"
    },
    {
      "address_1": "200 W ARBOR DR",
      "address_2": "UCSD MEDICAL CENTER, MC 8965",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SAN DIEGO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "619-543-7647",
      "postal_code": "921038965",
      "state": "CA",
      "telephone_number": "619-471-0275"
    }
  ],
  "taxonomies": [
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "LCS 07385",
      "primary": true,
      "state": "CA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "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"
      }
    ]
  }
}