Active NPI
Stacey Blake Blicker
- Social Worker
- Weston, FL
National Provider Identifier
1710077342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 179 Cameron CT
Weston, FL 33326-3519 - Phone
- (954) 349-4573
- Fax
- (954) 495-8807
- NPI assigned
- Oct 13, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
179 Cameron CT
Weston, FL 33326-3519
Mailing address
179 Cameron CT
Weston, FL 33326-3519
Phone (954) 349-4573
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": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710077342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 CAMERON CT",
"city": "WESTON",
"state": "FL",
"postal_code": "333263519",
"telephone_number": "954-349-4573",
"fax_number": "954-495-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 CAMERON CT",
"city": "WESTON",
"state": "FL",
"postal_code": "333263519",
"telephone_number": "954-349-4573",
"fax_number": "954-495-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLICKER",
"first_name": "STACEY",
"middle_name": "BLAKE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.