Em Legacy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11139 Issued in FL

Legal business name

EM LEGACY LLC

Practice address

2605 72ND Ave E
221
Ellenton, FL 34222-7000

Phone

(941) 545-9630

NPI assigned

May 30, 2014

Last updated

May 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Erin M Porter, LCSWNPI 1528478096

Title

MNGR Director

Phone

(941) 545-9630

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Porter, LCSW

  • Clinical Social Worker
  • Ellenton, FL
  • NPI 1528478096
  Authorized official Same address or phone

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1386056984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 72ND AVE E",
            "address_2": "221",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342227000",
            "telephone_number": "941-545-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 72ND AVE E",
            "address_2": "221",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342227000",
            "telephone_number": "941-545-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EM LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MNGR DIRECTOR",
        "authorized_official_telephone_number": "941-545-9630",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ellenton, FL
• Providers in Ellenton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.