Individual provider Active NPI

Megan Wurtz

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1174024277
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88536 Issued in CA
Practice address
2313 I St
Eureka
Eureka, CA 95501-3323
Phone
(707) 572-5324
NPI assigned
Feb 23, 2018
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 88536 CA Primary

Addresses

Primary practice location

2313 I St
Eureka
Eureka, CA 95501-3323

Mailing address

2313 I St
Eureka
Eureka, CA 95501-3323
Phone (707) 572-5324

Other names 1

  • Megan Shewmaker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200124002070 CA Practitioner - Clinical Social Worker 0244665024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Neurohealth Therapeutic ServicesGroup PAC ID 6709218589, 8 clinicians

Practice addresses (Care Compare)

3429 Renner Dr
Fortuna, CA 95540-3104
Phone (707) 296-9295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88536CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Neurohealth Therapeutic Services Clinical CurrentSince Nov 27, 2019 Accepting new patients
Humboldt Neurohealth Therapeutic Services PastSince Jan 29, 2023 Accepting new patients

Locations

2145 Myrtle Ave
Eureka, CA 95501
Phone (707) 296-9295

2313 I St
Eureka, CA 95501
Phone (707) 296-9295

3429 Renner Dr
Fortuna, CA 95540
Phone (707) 296-9295

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1174024277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 I ST",
            "address_2": "EUREKA",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013323",
            "telephone_number": "707-572-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 I ST",
            "address_2": "EUREKA",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013323",
            "telephone_number": "707-572-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZ",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "SHEWMAKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.