Meredith Coy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34008520A Issued in IN

Practice address

390 N Madison Ave
Ste 200
Greenwood, IN 46142-2301

Phone

(317) 779-7574

NPI assigned

May 9, 2019

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

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

University of Michigan Medical School, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebecca Waletich LCSW LLCGroup PAC ID 2062716947, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rebecca Waletich LCSW LLC

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1063884617
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1003471525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N MADISON AVE",
            "address_2": "STE 201",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422301",
            "telephone_number": "317-779-7574",
            "fax_number": "317-215-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N MADISON AVE",
            "address_2": "STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461422301",
            "telephone_number": "317-779-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "MEREDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34008520A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Suzanne Cowan, OTR
• David T Cox, MD
• Drucilla Kathleen Cox
• Joshua Cox, FNP
• Terrence K Cox, R.PH.
• Ryann Coy
• CPN General Surgical Care South
• Jodi Beth Crabtree, PT
• Kyliegh Crary, RBT
• Keisha N Creager, OTR

• Clinical Social Worker in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.