Individual provider Active NPI

Martine Dugard

  • Clinical Social Worker
  • Pompano Beach, FL
National Provider Identifier
1699185983
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11622 Issued in FL
Practice address
201 NE 23Rd CT
Pompano Beach, FL 33060-4952
Phone
(954) 592-7578
NPI assigned
May 7, 2014
Last updated
May 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2014

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 SW11622 FL Primary

Addresses

Primary practice location

201 NE 23Rd CT
Pompano Beach, FL 33060-4952

Mailing address

201 NE 23Rd CT
Pompano Beach, FL 33060-4952
Phone (954) 592-7578

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
I20180122001274 FL Practitioner - Clinical Social Worker 5597024414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Martine M. Dugard Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: martine.dugard@521794035712004.direct.elationemr.com
  • Direct secure messaging: martinemortimerdugard@tdh.allscriptsdirect.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1699185983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NE 23RD CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330604952",
            "telephone_number": "954-592-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE 23RD CT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330604952",
            "telephone_number": "954-592-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGARD",
        "first_name": "MARTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.