Active NPI
Meghan Koehler, LCSW-C
- Clinical Social Worker
- Lanham, MD
National Provider Identifier
1205047388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11398
- Practice address
- 10123 Senate Dr
1St Floor
Lanham, MD 20706-4367 - Phone
- (301) 459-9840
- Fax
- (301) 459-4856
- NPI assigned
- May 24, 2007
- 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 | 11398 | MD | Primary |
Addresses
Primary practice location
10123 Senate Dr
1St Floor
Lanham, MD 20706-4367
Mailing address
210 Woodhill Dr
Apt E
Glen Burnie, MD 21061-5745
Phone (443) 995-0102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11398 | Medicaid | MD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11398 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vesta Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- California, MD
- NPI 1134419294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1205047388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 WOODHILL DR",
"address_2": "APT E",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615745",
"telephone_number": "443-995-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 SENATE DR",
"address_2": "1ST FLOOR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064367",
"telephone_number": "301-459-9840",
"fax_number": "301-459-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEHLER",
"first_name": "MEGHAN",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "11398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11398",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.