Individual provider Active NPI

Lauren Whitney Merrell, LCSW

  • Clinical Social Worker
  • Kokomo, IN
National Provider Identifier
1194409482
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010487A Issued in IN
Practice address
1948 W Boulevard
Kokomo, IN 46902-6078
Phone
(765) 438-7213
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 34010487A IN Primary

Addresses

Primary practice location

1948 W Boulevard
Kokomo, IN 46902-6078

Mailing address

1948 W Boulevard
Kokomo, IN 46902-6078
Phone (765) 438-7213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230731000374 IN Practitioner - Clinical Social Worker 4284095803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34010487AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Jul 27, 2023 Accepting new patients
Four County Comprehensive Mental Health Center Inc CurrentSince Jul 27, 2023 Accepting new patients

Locations

3002 E Wabash St
Frankfort, IN 46041

1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290

2796 N Apperson Way
Kokomo, IN 46901

1 Landis Ln
Logansport, IN 46947

1015 Michigan Ave
Logansport, IN 46947

421 12th St
Logansport, IN 46947
Phone (574) 722-7407

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

2355 S Business 31
Peru, IN 46970

1 Zebra Ln
Rochester, IN 46975
Phone (574) 223-2159

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

417 S Chicago St
Royal Center, IN 46978

1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111

619 S Main St
Tipton, IN 46072

2418 Curtis Dr
Winamac, IN 46996
Phone (219) 946-7710

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1194409482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026078",
            "telephone_number": "765-438-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026078",
            "telephone_number": "765-438-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRELL",
        "first_name": "LAUREN",
        "middle_name": "WHITNEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010487A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.