Active NPI
Meggy Mary Ellyn Blaser Porte, LCSW
- Clinical Social Worker
- Margate, FL
National Provider Identifier
1285712273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW4403
- Practice address
- 767 S State Road 7
Suite 16
Margate, FL 33068 - Phone
- (954) 979-3655
- Fax
- (954) 979-7939
- NPI assigned
- Nov 1, 2006
- Last updated
- Jan 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW4403 | FL | Primary |
Addresses
Primary practice location
767 S State Road 7
Suite 16
Margate, FL 33068
Mailing address
767 S State Road 7
Suite 16
Margate, FL 33068
Phone (954) 979-3655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z7488 | Other | FL | BLUE CROSS BLUE SHIELD |
| 7808106 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1285712273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 S STATE ROAD 7",
"address_2": "SUITE 16",
"city": "MARGATE",
"state": "FL",
"postal_code": "33068",
"telephone_number": "954-979-3655",
"fax_number": "954-979-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 S STATE ROAD 7",
"address_2": "SUITE 16",
"city": "MARGATE",
"state": "FL",
"postal_code": "33068",
"telephone_number": "954-979-3655",
"fax_number": "954-979-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLASER PORTE",
"first_name": "MEGGY",
"middle_name": "MARY ELLYN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW4403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z7488",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7808106",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.