Active NPI
Amanda C Meers, LICSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1144617671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 122091
- Practice address
- 300 Longwood Ave
Boston, MA 02115-5724 - Phone
- (617) 355-9287
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1450732 | OH | |
| Social Worker | 104100000X | I.1700060 | OH | |
| Clinical Social Worker | 1041C0700X | 1.1700060-SUPV | OH | |
| Clinical Social Worker | 1041C0700X | 122091 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave
Boston, MA 02115-5724
Mailing address
60 Brattle St Apt 201
Cambridge, MA 02138-3737
Phone (617) 240-2742
Other practice location 1
1228 Euclid Avenue
Suite 200
Cleveland, OH 44113
Phone (216) 619-6194
Other names 1
- Ms. Amanda C. Eggert
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1450732 | OH | MD | Social Worker |
| 122091 | MA | MD | Clinical Social Worker |
| 1.1700060-SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570320000000",
"number": "1144617671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BRATTLE ST APT 201",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383737",
"telephone_number": "617-240-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-9287"
}
],
"practiceLocations": [
{
"address_1": "1228 Euclid Avenue",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44113",
"country_code": "US",
"telephone_number": "216-619-6194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEERS",
"first_name": "AMANDA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2019-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1450732",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I.1700060",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "1.1700060-SUPV",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "122091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "EGGERT",
"middle_name": "C.",
"prefix": "MS.",
"credential": "LISW-S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.