Active NPI
Yvon P Blaise, MSW
- Clinical Social Worker
- Pembroke Pines, FL
National Provider Identifier
1386188431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1000 N Hiatus Rd Ste 161
Pembroke Pines, FL 33026-3097 - Phone
- (954) 333-8787
- NPI assigned
- Dec 8, 2016
- Last updated
- Dec 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | NY | Primary |
Addresses
Primary practice location
1000 N Hiatus Rd Ste 161
Pembroke Pines, FL 33026-3097
Mailing address
5220 Rising Comet LN
Greenacres, FL 33463-5925
Phone (954) 770-1645
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1386188431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 RISING COMET LN",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334635925",
"telephone_number": "954-770-1645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N HIATUS RD STE 161",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330263097",
"telephone_number": "954-333-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAISE",
"first_name": "YVON",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.