Individual provider Active NPI

Megan Weatherspoon, LSW

  • Social Worker
  • Highland Hills, OH
National Provider Identifier
1124570288
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S1100099 Issued in OH
Practice address
4325 Green Rd
Cottage 3
Highland Hills, OH 44128-4884
Phone
(330) 467-7131
Fax
(216) 591-0223
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S1100099 OH Primary

Addresses

Primary practice location

4325 Green Rd
Cottage 3
Highland Hills, OH 44128-4884

Mailing address

4325 Green Rd
Cottage 3
Highland Hills, OH 44128-4884
Phone (330) 467-7131

Other identifiers 1

IdentifierTypeStateIssuer
2488428MedicaidOH

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
S1100099OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1124570288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 GREEN RD",
            "address_2": "COTTAGE 3",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441284884",
            "telephone_number": "330-467-7131",
            "fax_number": "216-591-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 GREEN RD",
            "address_2": "COTTAGE 3",
            "city": "HIGHLAND HILLS",
            "state": "OH",
            "postal_code": "441284884",
            "telephone_number": "330-467-7131",
            "fax_number": "216-591-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSPOON",
        "first_name": "MEGAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1100099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.