Active NPI
Lauren Whitney Merrell, LCSW
- Clinical Social Worker
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010487A
- Practice address
- 1948 W Boulevard
Kokomo, IN 46902-6078 - Phone
- (765) 438-7213
- NPI assigned
- Jun 15, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four County Comprehensive Mental Health Center, Inc | Current | Accepting new patients | |
| Four County Comprehensive Mental Health Center Inc | Current | Accepting new patients |
Locations
3002 E Wabash St
Frankfort, IN 46041
2796 N Apperson Way
Kokomo, IN 46901
1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290
421 12th St
Logansport, IN 46947
Phone (574) 722-7407
800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600
1015 Michigan Ave
Logansport, IN 46947
1 Landis Ln
Logansport, IN 46947
1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335
2355 S Business 31
Peru, IN 46970
401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565
1 Zebra Ln
Rochester, IN 46975
Phone (574) 223-2159
417 S Chicago St
Royal Center, IN 46978
619 S Main St
Tipton, IN 46072
1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Peru, IN
- NPI 1972545945
IN
-
- Psychiatric Hospital
- Peru, IN
- NPI 1457539751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.