Individual provider Active NPI

Rachel Meriwether, LCSW, LICSW

  • Clinical Social Worker
  • Wilmette, IL
National Provider Identifier
1194369223
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
438 Ridge Rd
Wilmette, IL 60091-2471
Phone
(224) 215-2017
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 Primary

Addresses

Primary practice location

438 Ridge Rd
Wilmette, IL 60091-2471

Mailing address

20 Vesper LN Unit L1
Nantucket, MA 02554-4394
Phone (508) 228-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240828002579 MA Practitioner - Clinical Social Worker 3173958782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Fairwinds-Nantuckets Counseling CenterGroup PAC ID 7517997992, 6 clinicians

Practice addresses (Care Compare)

20 Vesper LN
Unit L1
Nantucket, MA 02554-4394
Phone (508) 228-2689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Fairwinds-Nantuckets Counseling Center CurrentSince Jul 11, 2024 Accepting new patients
Fairwinds-Nantucket'S Counseling Center, Inc PastSince Mar 17, 2024 Accepting new patients

Locations

20 Vesper Ln
Unit L1
Nantucket, MA 02554
Phone (508) 228-2689

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1194369223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VESPER LN UNIT L1",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025544394",
            "telephone_number": "508-228-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912471",
            "telephone_number": "224-215-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIWETHER",
        "first_name": "RACHEL",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.