Individual provider Active NPI

Meredith Jo Layman, LISW

  • Clinical Social Worker
  • Lima, OH
National Provider Identifier
1144490087
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0800064 Issued in OH
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

Updated by the provider on May 27, 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 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

IdentifierTypeStateIssuer
0362841MedicaidOH

Other names 1

  • Meredith Jo Brodie Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230002409 OH Practitioner - Clinical Social Worker 0042644981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0800064OHMDClinical Social Worker
CW022255PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Care, Inc. CurrentSince Oct 21, 2019 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.

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

Verify at the official NPI Registry.