Lara Blair Cheatham

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW19935 Issued in FL

Practice address

3800 W Broward Blvd # 100
Fort Lauderdale, FL 33312-1018

Phone

(863) 521-1959

NPI assigned

May 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1821734419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD # 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "863-521-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD # 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "863-521-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "LARA",
        "middle_name": "BLAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Chavez
• Maria Antonieta Chavez, LMT
• Moses J Chavez, RBT
• Che Behavioral Health Services of Florida, P.a.
• Vasana Cheanvechai, M.D.,
• Christopher Paul Checke, LMHC, CAP, NCC, MAC
• Yerelin Checo, LMHC
• Sasha Chediak, D.O.
• Elena Chekulaeva
• Graciela Rut Chemerinsky, LMHC

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 May 7, 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.