Individual provider Active NPI

Megan Dieme, LSCSW, LCSW, RPT

  • Clinical Social Worker
  • Merriam, KS
National Provider Identifier
1073274726
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4770 Issued in KS
Practice address
10000 W 75TH St Ste 104
Merriam, KS 66204-2241
Phone
(913) 850-4833
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4770 KS Primary
Clinical Social Worker 1041C0700X 2016038353 MO

Addresses

Primary practice location

10000 W 75TH St Ste 104
Merriam, KS 66204-2241

Mailing address

10000 W 75TH St Ste 104
Merriam, KS 66204-2241
Phone (913) 850-4833

Other practice location 1

759 Vermont Ave Ste 100B
Kansas City, KS 66101-3738
Phone (913) 850-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4770KSMDClinical Social Worker
2016038353MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1073274726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 104",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042241",
            "telephone_number": "913-850-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST STE 104",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042241",
            "telephone_number": "913-850-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Vermont Ave Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661013738",
            "country_code": "US",
            "telephone_number": "913-850-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEME",
        "first_name": "MEGAN",
        "credential": "LSCSW, LCSW, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4770",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016038353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.