Organization Active NPI

Michael Meketon LCSW

  • Clinical Social Worker
  • Carlisle, PA
National Provider Identifier
1053154468
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MICHAEL MEKETON LCSW
Practice address
26 State Ave Ste 102
Carlisle, PA 17013-4457
Phone
(717) 966-1837
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Michelle Burkepile
Title
Consulting
Phone
(717) 966-1837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

26 State Ave Ste 102
Carlisle, PA 17013-4457

Mailing address

747 W Louther St
Carlisle, PA 17013-2217
Phone (717) 966-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240917002283 PA Part B Supplier - Clinic/Group Practice 1951842087 Receives reassigned benefits from 1 practitioner
Practice locations: Carlisle, PA

National Provider Directory

National Provider Directory

Locations

26 State Ave
Ste A
Carlisle, PA 17013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1053154468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 W LOUTHER ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132217",
            "telephone_number": "717-966-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 STATE AVE STE 102",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134457",
            "telephone_number": "717-966-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MEKETON LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-07-05",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BURKEPILE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CONSULTING",
        "authorized_official_telephone_number": "717-966-1837"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.