Marilyn Klock Popko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0002665 Issued in FL

Practice address

7901 SW 67TH Ave
Suite 201
South Miami, FL 33143-4538

Phone

(305) 668-1777

Fax

(786) 899-0955

NPI assigned

Jun 5, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marilyn Klock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1760820369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SW 67TH AVE",
            "address_2": "SUITE 201",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434538",
            "telephone_number": "305-668-1777",
            "fax_number": "786-899-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 SW 67TH AVE",
            "address_2": "SUITE 201",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434538",
            "telephone_number": "305-668-1777",
            "fax_number": "786-899-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPKO",
        "first_name": "MARILYN",
        "middle_name": "KLOCK",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "KLOCK",
            "prefix": "MS.",
            "credential": "BA, BSW, MA, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Max L Polo, M.D.
• Adriane Vega Pompa, M.D.
• Monica Joan Ponce, PA-C
• Varee Nattimon Poochareon, MD
• Victoria Ruth Pope, ARNP
• George Richard Porta, L.C.S.W.
• Jennifer Marie Portogues, APRN
• Alexander Portugal, MD
• Sujan Poudel
• Jitomol Poulose, MD

• Clinical Social Worker in South Miami, FL
• Providers in South Miami, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.