Individual provider Active NPI

Merope Patterson, LISW

  • Clinical Social Worker
  • Kettering, OH
National Provider Identifier
1013355965
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0010294 Issued in OH
Practice address
2555 S Dixie Dr
Suite 100
Kettering, OH 45409-1539
Phone
(937) 299-9060
Fax
(937) 299-3040
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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 I 0010294 OH Primary

Addresses

Primary practice location

2555 S Dixie Dr
Suite 100
Kettering, OH 45409-1539

Mailing address

1499 Elaine St
Dayton, OH 45417-9318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160105002519 OH Practitioner - Clinical Social Worker 6901108125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clearing Path'S Therapeutic Services LTDGroup PAC ID 1951603158, 9 clinicians

Practice addresses (Care Compare)

3440 Office Park Dr
Kettering, OH 45439-2214
Phone (937) 299-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I 0010294OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Woodman Primary Care LLC CurrentSince Aug 8, 2019 Accepting new patients
Clearing Path'S Therapeutic Services, LTD CurrentSince Dec 17, 2015 Accepting new patients
Access Ohio LLC Clinical Current Accepting new patients
Wellness Card LLC CurrentSince Aug 8, 2019 Accepting new patients
Clearing Path'S Therapeutic Services, LTD CurrentSince Dec 17, 2015 Accepting new patients

Locations

1320 Woodman Dr
Dayton, OH 45432
Phone (937) 223-1781

3440 Office Park Dr
Kettering, OH 45439
Phone (937) 299-9060

2555 S Dixie Dr
Ste 100
Kettering, OH 45409
Phone (937) 299-9060

Organizations & group practices 5

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1013355965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 ELAINE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454179318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR",
            "address_2": "SUITE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091539",
            "telephone_number": "937-299-9060",
            "fax_number": "937-299-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MEROPE",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0010294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.