Individual provider Active NPI

Paul Swift Mefford, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1205868700
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34002114A Issued in IN
Practice address
2015 Maxwell Avenue
Evansville, IN 47711
Phone
(812) 422-7974
Fax
(812) 671-0627
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 34002114A IN Primary

Addresses

Primary practice location

2015 Maxwell Avenue
Evansville, IN 47711

Mailing address

2015 Maxwell Avenue
Evansville, IN 47711
Phone (812) 422-7974

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address officemanager@evansvillepsychiatric.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040308000469 KY Practitioner - Clinical Social Worker 8820986375 Practice locations: Lexington, KY
I20040729000202 IN Practitioner - Clinical Social Worker 8820986375 Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3097 Majestic View Walk
Lexington, KY 40511-8881
Phone (812) 306-3053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34002114AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Mefford Clinical CurrentSince Apr 11, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1205868700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVENUE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47711",
            "telephone_number": "812-422-7974",
            "fax_number": "812-422-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAXWELL AVENUE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47711",
            "telephone_number": "812-422-7974",
            "fax_number": "812-671-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFORD",
        "first_name": "PAUL",
        "middle_name": "SWIFT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34002114A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officemanager@evansvillepsychiatric.net",
            "affiliation": "N",
            "endpointDescription": "office manager",
            "address_1": "2015 Maxwell Avenue",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.