{
  "npi": "1922772763",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2021-08-05",
    "enumeration_date": "2021-08-05",
    "first_name": "JACQUELYN",
    "last_name": "BARNEY",
    "last_updated": "2021-08-05",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 662",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "NILES",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "491200662",
      "state": "MI",
      "telephone_number": "269-357-6978"
    },
    {
      "address_1": "1653 REGENT ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NILES",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "491202144",
      "state": "MI",
      "telephone_number": "269-357-6978"
    }
  ],
  "taxonomies": [
    {
      "code": "1041C0700X",
      "desc": "Social Worker, Clinical",
      "license": "6851110324",
      "primary": true,
      "state": "MI",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "JACQUELYN SUSAN BARNEY",
          "npi": "1922772763",
          "specialty": "SOCIAL WORKER",
          "city": "AUGUSTA",
          "state": "GA",
          "excl_type": "1128a1",
          "excl_date": "2025-04-20",
          "statute_desc": "Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min)"
        }
      ],
      "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"
      }
    ]
  }
}