Active NPI
Meredith Jo Layman, LISW
- Clinical Social Worker
- Lima, OH
National Provider Identifier
1144490087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I0800064
- Practice address
- 2535 Fort Amanda Rd
Lima, OH 45804-3728 - Phone
- (419) 999-2055
- Fax
- (419) 999-2058
- NPI assigned
- Mar 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW022255 | PA | |
| Clinical Social Worker | 1041C0700X | I0800064 | OH | Primary |
Addresses
Primary practice location
2535 Fort Amanda Rd
Lima, OH 45804-3728
Mailing address
1100 Shawnee Rd
Lima, OH 45805-3529
Phone (419) 999-2010
Other practice location 1
205 W Market St
Lima, OH 45801-4865
Phone (419) 229-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0362841 | Medicaid | OH |
Other names 1
- Meredith Jo Brodie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0800064 | OH | MD | Clinical Social Worker |
| CW022255 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Care, Inc. | Current | Accepting new patients |
Locations
2535 Fort Amanda Rd
Lima, OH 45804
Phone 4199992010 ext. 01197
1100 Shawnee Rd
Lima, OH 45805
Phone (419) 234-9494
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lima, OH
- NPI 1912412768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1144490087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458053529",
"telephone_number": "419-999-2010",
"fax_number": "419-999-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 FORT AMANDA RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458043728",
"telephone_number": "419-999-2055",
"fax_number": "419-999-2058"
}
],
"practiceLocations": [
{
"address_1": "205 W Market St",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458014865",
"country_code": "US",
"telephone_number": "419-229-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAYMAN",
"first_name": "MEREDITH",
"middle_name": "JO",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-06",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW022255",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I0800064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0362841",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEREDITH",
"last_name": "BRODIE",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.