Active NPI
Megan Elizabeth De la Portilla, LCSW
- Clinical Social Worker
- Largo, FL
National Provider Identifier
1447693643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13281
- Practice address
- 8823 115TH Ave
Largo, FL 33773-4922 - Phone
- (727) 547-4566
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- 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 | 13281 | FL | Primary |
Addresses
Primary practice location
8823 115TH Ave
Largo, FL 33773-4922
Mailing address
620 Bayway Blvd
Apt. 4
Clearwater, FL 33767-2669
Phone (443) 690-0642
Other names 1
- Ms. Megan Elizabeth Hauf
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13281 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1447693643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 BAYWAY BLVD",
"address_2": "APT. 4",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337672669",
"telephone_number": "443-690-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8823 115TH AVE",
"city": "LARGO",
"state": "FL",
"postal_code": "337734922",
"telephone_number": "727-547-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA PORTILLA",
"first_name": "MEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-08",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "13281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "HAUF",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.