Active NPI
Megan Poor Licsw
- Clinical Social Worker
- South Burlington, VT
National Provider Identifier
1710434717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089.0045694
- Legal business name
- MEGAN POOR LICSW
- Practice address
- 54 W Twin Oaks Ter
Suite 12
South Burlington, VT 05403-7140 - Phone
- (802) 598-4412
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Poor, LICSW
- Title
- Owner
- Phone
- (802) 598-4412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0045694 | VT | Primary |
Addresses
Primary practice location
54 W Twin Oaks Ter
Suite 12
South Burlington, VT 05403-7140
Mailing address
54 W Twin Oaks Ter
Suite 12
South Burlington, VT 05403-7140
Phone (802) 598-4412
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473206400000",
"number": "1710434717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 W TWIN OAKS TER",
"address_2": "SUITE 12",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037140",
"telephone_number": "802-598-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 W TWIN OAKS TER",
"address_2": "SUITE 12",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037140",
"telephone_number": "802-598-4412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEGAN POOR LICSW",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2016-09-07",
"status": "A",
"authorized_official_last_name": "POOR",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-598-4412",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089.0045694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.