Individual provider Active NPI

Meghan Lewellen, LICSW

  • Clinical Social Worker
  • Milton, VT
National Provider Identifier
1235536400
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0097508 Issued in VT
Practice address
4 Merrill LN
Unit 102
Milton, VT 05468-3322
Phone
(802) 922-1551
NPI assigned
Dec 3, 2014
Last updated
Aug 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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 089-0097508 VT Primary

Addresses

Primary practice location

4 Merrill LN
Unit 102
Milton, VT 05468-3322

Mailing address

4 Merrill LN
Unit 102
Milton, VT 05468-3322
Phone (802) 922-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20150218000057 VT Practitioner - Clinical Social Worker 7810212792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12 River St
Unit 105
Milton, VT 05468-3628
Phone (802) 559-0255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0097508VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quail Hollow Counseling LLC Clinical CurrentSince Jan 7, 2017 Accepting new patients

Locations

4 Merrill Ln
Unit 102
Milton, VT 05468
Phone (802) 559-0255

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, 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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1235536400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MERRILL LN",
            "address_2": "UNIT 102",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683322",
            "telephone_number": "802-922-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MERRILL LN",
            "address_2": "UNIT 102",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683322",
            "telephone_number": "802-922-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLEN",
        "first_name": "MEGHAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0097508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, VT

Sources for this page

Verify at the official NPI Registry.