Active NPI
Meera Vasquez, LCSW
- Clinical Social Worker
- Jasper, IN
National Provider Identifier
1154612398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34007062A
- Practice address
- 800 W 9TH St
Jasper, IN 47546 - Phone
- (812) 996-0437
- Fax
- (812) 996-0439
- NPI assigned
- Apr 21, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150012225 | IL | |
| Clinical Social Worker | 1041C0700X | 34007062A | IN | Primary |
Addresses
Primary practice location
800 W 9TH St
Jasper, IN 47546
Mailing address
PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8478
Other practice location 1
3903 Indianapolis Blvd
East Chicago, IN 46312-2555
Phone (219) 392-6004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3033 W Jefferson St
Suite 107
Joliet, IL 60435-5298
Phone (815) 773-0772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150012225 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Center for Mental Health Inc | Clinical | Current | Accepting new patients |
Locations
3033 W Jefferson St
Ste 107
Joliet, IL 60435
Phone (815) 773-0772
1801 N Mill St
Ste J
Naperville, IL 60563
Phone (630) 452-5409
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": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1154612398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1028",
"city": "JASPER",
"state": "IN",
"postal_code": "475471028",
"telephone_number": "812-996-8478",
"fax_number": "812-996-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 9TH ST",
"city": "JASPER",
"state": "IN",
"postal_code": "47546",
"telephone_number": "812-996-0437",
"fax_number": "812-996-0439"
}
],
"practiceLocations": [
{
"address_1": "3903 Indianapolis Blvd",
"address_purpose": "LOCATION",
"city": "East Chicago",
"state": "IN",
"postal_code": "463122555",
"country_code": "US",
"telephone_number": "219-392-6004",
"fax_number": "219-392-6998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "MEERA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150012225",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34007062A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.