Diane Marcy Meadow, MSW PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS5702 Issued in CA

Practice address

15615 Alton Pkwy
Ste 220
Irvine, CA 92618

Phone

(949) 707-5191

Fax

(949) 496-6027

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265658157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23891 BOTHNIA BAY",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294403",
            "telephone_number": "949-707-5191",
            "fax_number": "949-496-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 ALTON PKWY",
            "address_2": "STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-707-5191",
            "fax_number": "949-496-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOW",
        "first_name": "DIANE",
        "middle_name": "MARCY",
        "name_prefix": "Dr.",
        "credential": "MSW PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS5702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MDPD Specialists
• Mdxhealth, Inc.
• Andrea Dione Meacham, CNM
• Emily Mead
• Danielle Jacleen Meadors, BA
• Med-Source Diagnostics
• Medcare Transportation Corp
• Jose Luis Medel
• Medhealth Medical LLC
• Media Najafi DDS Inc

• Clinical Social Worker in Irvine, CA
• Providers in Irvine, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.