Jill M Meehan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11575 Issued in FL

Practice address

105 Southpark Blvd Ste 202
Saint Augustine, FL 32086-5191

Phone

(904) 540-0999

NPI assigned

Sep 10, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1104309715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 CORTEZ DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320868894",
            "telephone_number": "904-540-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOUTHPARK BLVD STE 202",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865191",
            "telephone_number": "904-540-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-Trans Corporation
• Medfund LLC
• Medical Professionals of North Florida
• Medone, PLLC
• Michael R Medved, PA
• Michael John Meehan, LCSW
• Megan Logan, LCSW, PA
• Alyssa Anthe Megeath
• Badri Nath Mehrotra, M.D. P.A.
• Maxwell Richard Meigh

• Clinical Social Worker in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.