Organization Active NPI

Megan Poor Licsw

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1710434717
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0045694 Issued in VT
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

Updated by the provider on Sep 7, 2016

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.