Individual provider Active NPI

Anne L Meijers, LCSW

  • Clinical Social Worker
  • Brevard, NC
National Provider Identifier
1124112636
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005416 Issued in NC
Practice address
41 N Rice St
Brevard, NC 28712-3431
Phone
(828) 884-6479
NPI assigned
Oct 2, 2006
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 C005416 NC Primary

Addresses

Primary practice location

41 N Rice St
Brevard, NC 28712-3431

Mailing address

41 N Rice St
Brevard, NC 28712-3431
Phone (828) 884-6479

Other identifiers 1

IdentifierTypeStateIssuer
6106512MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • 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
I20100419000372 NC Practitioner - Clinical Social Worker 5496853665 Practice locations: Brevard, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005416NCMDClinical Social Worker
5416NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah Ellis LCSW PLLC CurrentSince Jan 27, 2023 Accepting new patients

Locations

41 N Rice St
Brevard, NC 28712
Phone (828) 243-5839

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1124112636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N RICE ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123431",
            "telephone_number": "828-884-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N RICE ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123431",
            "telephone_number": "828-884-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIJERS",
        "first_name": "ANNE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106512",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

Verify at the official NPI Registry.