Active NPI
Meagan Elizabeth Vincenz, LCSW
- Clinical Social Worker
- Buckley Afb, CO
National Provider Identifier
1164969705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2016014713
- Practice address
- 275 S Aspen St Stop 89
Buckley Afb, CO 80011 - NPI assigned
- Jan 20, 2017
- 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 | 2016014713 | MO | |
| Clinical Social Worker | 1041C0700X | 2016014713 | MO | Primary |
Addresses
Primary practice location
275 S Aspen St Stop 89
Buckley Afb, CO 80011
Mailing address
275 S Aspen St Stop 89
Buckley Afb, CO 80011-9562
Other practice location 1
8772 Big Bend Blvd
Webster Groves, MO 63119-3730
Phone (314) 962-7788
Other practice location 2
102 Compass Point Dr
Saint Charles, MO 63301-4404
Phone (844) 853-8937
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 |
|---|---|---|---|
| 2016014713 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1164969705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 S ASPEN ST STOP 89",
"city": "BUCKLEY AFB",
"state": "CO",
"postal_code": "800119562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 S ASPEN ST STOP 89",
"city": "BUCKLEY AFB",
"state": "CO",
"postal_code": "80011"
}
],
"practiceLocations": [
{
"address_1": "8772 Big Bend Blvd",
"address_purpose": "LOCATION",
"city": "Webster Groves",
"state": "MO",
"postal_code": "631193730",
"country_code": "US",
"telephone_number": "314-962-7788",
"fax_number": "314-962-4158",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Compass Point Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633014404",
"country_code": "US",
"telephone_number": "844-853-8937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENZ",
"first_name": "MEAGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2016014713",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2016014713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckley Afb, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.