Individual provider Active NPI

Martin S Laser, MSW

  • Clinical Social Worker
  • Plantation, FL
National Provider Identifier
1114218898
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 784 Issued in FL
Practice address
350 NW 70TH Ave
Suite a
Plantation, FL 33317-2349
Phone
(954) 587-7520
Fax
(954) 587-7527
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 784 FL Primary

Addresses

Primary practice location

350 NW 70TH Ave
Suite a
Plantation, FL 33317-2349

Mailing address

10799 Nashville Drive
Hollywood, FL 33026
Phone (954) 431-0821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106001642 FL Practitioner - Clinical Social Worker 8123253762 Reassigns benefits to 1 organization
Practice locations: Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruth and Norman Rales Jewish Family Services IncGroup PAC ID 4183526221, 12 clinicians

Practice addresses (Care Compare)

7091 W Atlantic Blvd
Delray Beach, FL 33446-1601
Phone (561) 852-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 784FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Toby and Leon Cooperman Therapy and Family Resource Center CurrentSince Sep 17, 2014 Accepting new patients
Ruth & Norman Rales Jewish Family Services Inc Clinical CurrentSince Sep 17, 2014 Accepting new patients
Nicola Chung, PH.D., LLC PastSince Apr 12, 2009 Accepting new patients
Jack R Weitz PHD PA Past Accepting new patients

Locations

21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428
Phone (561) 852-3333

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1114218898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10799 NASHVILLE DRIVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-431-0821",
            "fax_number": "954-431-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 70TH AVE",
            "address_2": "SUITE A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172349",
            "telephone_number": "954-587-7520",
            "fax_number": "954-587-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASER",
        "first_name": "MARTIN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.