Kaitlyn Merwin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011460A Issued in IN

Practice address

5010 N Stone Mill Rd Ste B
Bloomington, IN 47408-9320

Phone

(812) 929-2193

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Preferred Care Associates, LLC

  • Mental Health Counselor
  • Warren, OH
  • NPI 1154687390
  Medicare reassignment NPD
• Preferred Care Counseling LLC

  • Community/Behavioral Health Agency
  • Poland, OH
  • NPI 1457664567
  Medicare reassignment NPD
• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1033527619
  NPD (past)
• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1891099073
  NPD (past)

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1235919960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 N STONE MILL RD STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089320",
            "telephone_number": "812-929-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 N STONE MILL RD STE B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089320",
            "telephone_number": "812-929-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERWIN",
        "first_name": "KAITLYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011460A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ally Meraz
• Marisa Maria Mercer, NP
• Mercury Mental Health LLC
• Glenn Michael Merepith, BEHAVIOR CLINICIAN
• Jessica Meriwether, MSN, RN, ACCNS-AG
• Jeremy Mescher, M.D.
• Shelby Messick, RBT
• Rachel Mest, RBT
• Mindy Lynn Metzcar, LCSW
• Scott Meunier

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.

Verify at the official NPI Registry.