Built for Growth LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BUILT FOR GROWTH LLC

Practice address

84 Front St Ste a
Port Jervis, NY 12771-2415

Phone

(718) 913-0234

NPI assigned

Dec 5, 2022

Last updated

Dec 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcela Blair, LCSWNPI 1962676494

Title

Owner

Phone

(718) 913-0234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcela Blair, LCSW

  • Clinical Social Worker
  • Lake Ariel, PA
  • NPI 1962676494
  NPD Authorized official

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1790495364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 FRONT ST STE A",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712415",
            "telephone_number": "718-913-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 FRONT ST STE A",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712415",
            "telephone_number": "718-913-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILT FOR GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MARCELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-913-0234",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757683",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Joseph Braunagel Jr., R.PH.
• Breitbeck Physician Medicine Services, PC
• David Harold Brody, M.D.
• Ann Marie Brown, LMHC, NCC
• Vivian Bruno
• Chad Michael Burkhart
• Olga Buyanova
• Yasu Caballero, NYS CASAC
• Miguelina A Cabrera, MS.SP.ED
• Hayri Cabuk, M.D.

• Clinical Social Worker in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.