Individual provider Active NPI

Michael J Poff, LCSW, PA

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1871782003
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0003019 Issued in FL
Practice address
1325 W Fletcher Ave
Tampa, FL 33612-3310
Phone
(813) 964-5684
Fax
(813) 908-2880
NPI assigned
Oct 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW0003019 FL Primary

Addresses

Primary practice location

1325 W Fletcher Ave
Tampa, FL 33612-3310

Mailing address

1325 W Fletcher Ave
Tampa, FL 33612-3310
Phone (813) 964-5684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000270 FL Practitioner - Clinical Social Worker 4284891136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 W Fletcher Ave
Tampa, FL 33612-3310
Phone (813) 964-5684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
SW0003019FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Poff, LCSW, PA PastSince Dec 14, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1871782003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-964-5684",
            "fax_number": "813-908-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123310",
            "telephone_number": "813-964-5684",
            "fax_number": "813-908-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFF",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "LCSW, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0003019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.