{
  "npi": "1669547493",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "LCSW, BCD, MAC",
    "enumeration_date": "2006-11-20",
    "first_name": "KATHERINE",
    "last_name": "ANDRADE",
    "last_updated": "2019-11-25",
    "middle_name": "MICHELLE",
    "name_prefix": "Ms.",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "260 PEACHTREE ST NW STE 2200",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ATLANTA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "844-620-0735",
      "postal_code": "303031292",
      "state": "GA",
      "telephone_number": "770-580-5519"
    },
    {
      "address_1": "1700 NORTHSIDE DR NW APT 4402",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ATLANTA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "866-320-7864",
      "postal_code": "303182689",
      "state": "GA",
      "telephone_number": "803-260-7553"
    }
  ],
  "taxonomies": [
    {
      "code": "101YA0400X",
      "desc": "Counselor, Addiction (Substance Use Disorder)",
      "license": "508866",
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "CSW006212",
      "primary": true,
      "state": "GA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1669547493",
      "LAST_NAME": "ANDRADE",
      "FIRST_NAME": "KATHERINE",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "N",
      "PMD": "N",
      "HOSPICE": "N"
    }
  },
  "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"
      }
    ]
  }
}