Active NPI
Meredith Lee Chadeayne, LCSW
- Clinical Social Worker
- Coral Springs, FL
National Provider Identifier
1285097642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12417
- Practice address
- 7401 Wiles Rd
Suite 253
Coral Springs, FL 33067-2036 - Phone
- (561) 843-5845
- Fax
- (954) 827-0297
- NPI assigned
- Apr 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | SW12417 | FL | Primary |
Addresses
Primary practice location
7401 Wiles Rd
Suite 253
Coral Springs, FL 33067-2036
Mailing address
7401 Wiles Rd
Suite 253
Coral Springs, FL 33067-2036
Phone (561) 843-5845
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 |
|---|---|---|---|
| SW12417 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awakened Mind, LLC | 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
- Coral Springs, FL
- NPI 1174976435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459641600000",
"number": "1285097642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 WILES RD",
"address_2": "SUITE 253",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330672036",
"telephone_number": "561-843-5845",
"fax_number": "954-827-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 WILES RD",
"address_2": "SUITE 253",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330672036",
"telephone_number": "561-843-5845",
"fax_number": "954-827-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADEAYNE",
"first_name": "MEREDITH",
"middle_name": "LEE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-03",
"last_updated": "2016-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.