{
  "npi": "1750022372",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-06-22",
    "credential": "LMSW",
    "enumeration_date": "2022-04-06",
    "first_name": "MARGARET",
    "last_name": "BOMBARD",
    "last_updated": "2026-06-22",
    "middle_name": "SUZANNE",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "31 THURBER DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WATERLOO",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "315-539-1054",
      "postal_code": "131651665",
      "state": "NY",
      "telephone_number": "315-539-1980"
    },
    {
      "address_1": "7204 MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "OVID",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "14521",
      "state": "NY",
      "telephone_number": "607-869-5575"
    }
  ],
  "taxonomies": [
    {
      "code": "104100000X",
      "desc": "Social Worker",
      "license": "117213",
      "primary": true,
      "state": "NY",
      "taxonomy_group": ""
    },
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": null,
      "primary": false,
      "state": null,
      "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 Social Worker",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}