Meng Ai, LCSW
Individual provider Active NPI Clinical Social Worker · Bloomington, IN
NPI 1164559944 · NPPES record last updated Sep 9, 2023
Key facts
- NPI
- 1164559944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34004371A (IN)
- Practice address
- 101 W Kirkwood Ave Ste 210
Bloomington, IN 47404-6133 - Phone
- (812) 333-1988
- Fax
- (812) 822-3159
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34004371A | IN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34004371A | IN | Yes |
Addresses
Primary practice location
101 W Kirkwood Ave Ste 210
Bloomington, IN 47404-6133
Mailing address
101 W Kirkwood Ave Ste 210
Bloomington, IN 47404-6133
Phone (812) 333-1988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291383000 | Other | IN | MAGELLAN PIN NUMBER |
| 000000214787 | Other | IN | ANTHEM PIN NUMBER |
Other providers in Bloomington, IN
- Allison Aftergut
- Vijay Kumar Agarwal
- Katie Agnew
- Abel R Aguilar
- Sebastian Roman Aguirre
- Nadine T Al Homsi
- Nidal Al-Hosainat
- Basma Alaa Jafar Al-Saadi
- Farouq Bahaa Farouq Alahmed
- Alanicare LLC
All providers in Bloomington, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.